Individual
RICHARD H BUNDSCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME68442
FL
208VP0014X
Interventional Pain Medicine Physician
ME0068442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285740720
GROUP NPI
FL
01
—
27787
BCBS FL
FL
01
—
P00192263
RAILROAD MEDICARE
FL
Enumeration date
02/27/2006
Last updated
05/25/2022
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