MEDICARE: BUNN MEDICAL CENTER PA

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	207Q00000X	Family Medicine Physician	68505	NC

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

General Provider Information

NPI Number	:	1366528358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUNN MEDICAL CENTER PA

Provider Business Mailing Address
First Line	:	285 MAIN STREET
Second Line	:
City	:	BUNN
State	:	NC
Zip	:	27508-0368
Country	:	US
Telephone Number	:	919-496-6511
Fax Number	:	919-496-2889

Provider Business Practice Location Address
First Line	:	285 MAIN STREET
Second Line	:
City	:	BUNN
State	:	NC
Zip	:	27508-0368
Country	:	US
Telephone Number	:	919-496-6511
Fax Number	:	919-496-2889

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DHRUVA KUMAR
Credential	:	MD
Telephone Number	:	919-496-6511

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1871524322 — DR. DHRUVA KUMAR MD
Practice Location Address:

285 MAIN STREET
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27508-0368

Practice Phone: 919-496-6511
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1588645006 — DR. CLETUS H. SIMPSON DDS
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1477599850 — CORNER DRUG STORES INC
Practice Location Address:

23 EAST HIGHWAY 98 , SUITE 100
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27508

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1528099116 — MRS. LINDA S HALE NP
Practice Location Address:

101 MAIN ST
BUNN, NC
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1588827257 — PAMELA ROUSE DDS
Practice Location Address:

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1578705570 — OMEGA INDEPENDENT LIVING SERVICES, INC.
Practice Location Address:

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Practice Fax:

Directions to “BUNN MEDICAL CENTER PA ” Practice Location

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