MEDICARE: DR. CASEY ANTONY BUNS DC, CCSP

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	111NS0005X	Sports Physician Chiropractor	007607	IA
2	111N00000X	Chiropractor	007607	IA

General Provider Information

NPI Number	:	1376813683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASEY ANTONY BUNS DC, CCSP

Provider Business Mailing Address
First Line	:	1000 BRADY ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-5287
Country	:	US
Telephone Number	:	563-884-5801
Fax Number	:	563-885-5470

Provider Business Practice Location Address
First Line	:	1000 BRADY ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-5287
Country	:	US
Telephone Number	:	563-884-5801
Fax Number	:

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

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	09/01/2023

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