JACOB JOSEPH BUNDY (NPI# 1902396898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902396898 |
| Entity Type | Individual |
| Full Name | JACOB JOSEPH BUNDY |
| Credential | MD |
| Practice Address |
Wake Forest Baptist Health Medical Center Boulevard Winston Salem NC 27157-5331 |
| Mailing Address |
Wake Forest Baptist Health Medical Center Boulevard Winston Salem NC 27157-1088 |
| Practice Telephone | 3367163560 |
| Mailing Telephone | 3367163560 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 248513 | NC | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301115028 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E. Medical Center Drive, 2920 Tc, Ann Arbor, MI 481095331 | 7349365818 | 7349366927 |
| Street Address |
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932586997 | Hao Li | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-5051 | 2015-04-29 |
| 1023646858 | Kelly Comolli Wilson | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-28 |
| 1598326472 | Kelly Pierson | Dietitian, Registered | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-06-22 |
| 1619535689 | Andrew Thomas Faucheux | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-06-04 |
| 1801358585 | Eve Richey | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-02 |
| 1114371762 | Scott Rose | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1366040503 | William Tommy Sparks | Student in an Organized Health Care Education/Training Program | 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 | 2020-10-10 |
| 1386258432 | Valerie Miller | Student in an Organized Health Care Education/Training Program | 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1942814074 | Joyous Hawkins | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1326652504 | Emily Claire Skoglund | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 | 2020-09-03 |
| 1750903233 | Rachel Elizabeth Crespi | Student in an Organized Health Care Education/Training Program | 3517 Summerfield Ln, Winston Salem, NC 27106-4295 | 2020-05-07 |
| 1023639325 | Christopher Gregg Marler Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 | 2020-04-28 |
| 1912526005 | Hunter Bright Yancey | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 | 2020-04-09 |
| 1033748371 | Chukwuweike U Gwam | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 | 2020-04-08 |
| 1386273175 | Mehrnoosh Ghandili | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-03 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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| 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.