MEDICARE: HELEN M BUMPUS 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	208000000X	Pediatrics Physician	12376	OK
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	12376	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2050439602	OTHER	FIRST GUARD HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	A002	OTHER	TRI CARE STD

General Provider Information

NPI Number	:	1760486302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN M BUMPUS MD

Provider Business Mailing Address
First Line	:	226 SE DEBELL
Second Line	:	BLDG A
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006
Country	:	US
Telephone Number	:	918-338-3777
Fax Number	:	918-331-2346

Provider Business Practice Location Address
First Line	:	3450 E FRANK PHILLIPS
Second Line	:	SUITE 100
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2401
Country	:	US
Telephone Number	:	918-338-3777
Fax Number	:	918-331-2346

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	05/04/2011

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Directions to “ HELEN M BUMPUS MD” Practice Location

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