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1184684508

NPI Code Detail

MEDICARE: RUSSELL BIUNDO MD

MEDICARE: RUSSELL BIUNDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	WV16623	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	124508400	OTHER		DEPT OF LABOR WORK COMP
3	198177	OTHER		FEDERAL BLACK LUNG
4	282258	OTHER		ALLIANCE PPO
5	311545097	OTHER		4 MOST HEALTH PLANS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1506998	OTHER		GATEWAY HEALTH PLANS
8	311545097	OTHER		HEALTH AMERICA HLTH ASSUR
9	E65412	OTHER		CARELINK
10	WVMX2847	OTHER		ADVANTAGE HEALTH
11	4266957	OTHER		AETNA
12	001712437	OTHER		MT STATE BLUE CROSS BLUE
13	282258	OTHER		GEHA

General Provider Information

NPI Number	:	1184684508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSSELL BIUNDO MD

Provider Business Mailing Address
First Line	:	1160 VAN VOORHIS RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3437
Country	:	US
Telephone Number	:	304-598-1122
Fax Number	:	304-598-1124

Provider Business Practice Location Address
First Line	:	1160 VAN VOORHIS RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3437
Country	:	US
Telephone Number	:	304-598-1122
Fax Number	:	304-598-1124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	04/05/2022

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Directions to “ RUSSELL BIUNDO MD” Practice Location

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