1922740216 NPI number — DR. JAMES MARION BUNCH II MD

Table of content: DR. JAMES MARION BUNCH II MD (NPI 1922740216)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922740216 NPI number — DR. JAMES MARION BUNCH II MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUNCH
Provider First Name:
JAMES
Provider Middle Name:
MARION
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922740216
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6320 RIVERSIDE LANE NW, STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87120-1710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-843-6168
Provider Business Mailing Address Fax Number:
505-247-9743

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
903 W. MARTIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-358-3582
Provider Business Practice Location Address Fax Number:
210-702-4207
Provider Enumeration Date:
04/08/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MD2026-0297 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: BP10078476 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com