JEFFREY D BUNDRICK (NPI# 1366928350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366928350 |
| Entity Type | Individual |
| Full Name | JEFFREY D BUNDRICK |
| Credential | DPT |
| Practice Address |
Whiteman Air Force Base Knob Noster MO 65305 |
| Mailing Address |
235 Se 141st Rd Warrensburg MO 64093-7589 |
| Practice Telephone | 6606877260 |
| Mailing Telephone | 4178800006 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2012027617 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PHYSICAL THERAPY LICENSE | 2012027617 | 01 |
| Street Address |
WHITEMAN AIR FORCE BASE |
| City | KNOB NOSTER |
| State | MO |
| Zip Code | 65305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841730280 | Joseph Sharp | Student in an Organized Health Care Education/Training Program | 162 Sijen Ave, Knob Noster, MO 65305 | 2017-03-05 |
| 1295116572 | Caleb James | Family Medicine | 331 Sijan, Whiteman Afb, MO 65305 | 2015-06-12 |
| 1679627814 | Linda May Jones | Social Worker | Whiteman Air Force Base 509 Medical Group, 331 Sijan Ave, Whiteman Afb, MO 65305 | 2007-01-23 |
| 1265454367 | Mary Anne Kiel | Pediatrics | 509th Medical Group, 331 Sijan Avenue, Whiteman Afb, MO 65305 | 2006-07-25 |
| 1760471635 | Tammy Colleen Karamarinov | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2005-10-13 |
| 1609419142 | Ryan H Boothe | Nurse Practitioner | 331 Sijan Ave Bldg 2032, Whiteman Afb, MO 65305 | 2019-10-28 |
| 1093358293 | Margaret Stepaniak | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2019-10-21 |
| 1407395213 | Matthew Robert Land | Physician Assistant | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2017-02-14 |
| 1487020269 | Kelsey Geiger | Dentist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2015-08-17 |
| 1659750206 | Erin Katie Dunn | Social Worker | 331 Sijan Avenue, Knob Noster, MO 65305 | 2015-05-28 |
| Find all providers in zip 65305 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605591 | Brendan Lee Thompson | Physical Therapist | 8356 Musick Memorial Dr, Saint Louis, MO 63144-2914 | 2020-10-06 |
| 1295349520 | Katie Bader | Physical Therapist | 118 Richardson Xing, Arnold, MO 63010-6023 | 2020-09-03 |
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
| 1124656574 | Richard Dean Maas | Physical Therapist | 2230 W Sunset St, Springfield, MO 65807-5980 | 2020-03-31 |
| 1063059780 | Adam Sparks | Physical Therapist | 722 N State Highway 47 Ste A, Warrenton, MO 63383-1108 | 2019-12-01 |
| 1982125944 | Zachary T Winchester | Physical Therapist | 3860 Vogel Rd, Arnold, MO 63010-3776 | 2017-06-29 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1003271487 | Scott Lawrence Jones | Physical Therapist | 912 W 78th St, Kansas City, MO 64114-1761 | 2015-12-29 |
| 1588093306 | Misty Brooks | Physical Therapist | 407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242 | 2013-11-02 |
| Find all providers with the same taxonomy | ||||
| City | KNOB NOSTER |
| Zip Code | 65305 |
Please comment or provide details below to improve the information on JEFFREY D BUNDRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.