JACOB JOSEPH BUNDY MD NPI 1902396898

NPI Information

  • NPI: 1902396898
  • Provider Name: JACOB JOSEPH BUNDY, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD
    WINSTON SALEM, NC
    ZIP 27157
  • Phone: (336) 716-3560

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NPI Details

Jacob Joseph Bundy, MD is a body imaging radiology in Winston Salem, NC with 7 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Jacob Joseph Bundy, MD NPI is 1902396898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2018

The provider's business location address is:

WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC
ZIP 27157-331
Phone: (336) 716-3560

The NPI 1902396898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 6/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging248513NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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