Individual
BRENT C BUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11111 S 84TH ST, ER DEPT, PAPILLION, NE 68046-4122
(402) 593-3550
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
314
NE
208D00000X
General Practice Physician
314
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35754
BCBS
NE
Enumeration date
08/10/2006
Last updated
10/26/2021
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