Healthcare Provider Details

I. General information

NPI: 1063032639
Provider Name (Legal Business Name): COLIN BUMANN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8433 SADDLE CREEK RD
ABILENE TX
79602-5457
US

IV. Provider business mailing address

8433 SADDLE CREEK RD
ABILENE TX
79602-5457
US

V. Phone/Fax

Practice location:
  • Phone: 580-585-5545
  • Fax:
Mailing address:
  • Phone: 325-668-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5143
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: