Individual
DR. JAMES DEAN BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 S WILLOW ST, NORTH PLATTE, NE 69101-5279
(308) 534-1700
(308) 534-8689
Mailing address
825 S WILLOW ST, NORTH PLATTE, NE 69101-5279
(308) 534-1700
(308) 534-8689
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20039
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004736
AAD ID NUMBER
NE
01
—
070008889
RAILROAD MEDICARE NUMBER
NE
01
—
20039
NE MEDICAL LICENSE
NE
01
—
28D0913222
CLIA CERTIFICATION NUMBER
NE
01
—
31026
BC/BS PROVIDER NUMBER
NE
01
—
470797269
UPREHS PROVIDER NUMBER
NE
05
—
47079726900
—
NE
Enumeration date
09/13/2005
Last updated
08/17/2023
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