DR. JUSTIN V BUNDY (NPI# 1508986589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508986589 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN V BUNDY |
| Credential | MD |
| Practice Address |
3650 J Dewey Gray Cir Augusta GA 30909-1867 |
| Mailing Address |
Po Box 14039 Augusta GA 30919-0039 |
| Practice Telephone | 7068639797 |
| Practice Fax Number | 7068607686 |
| Mailing Telephone | 7068639797 |
| Mailing Fax Number | 7068607686 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2009-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
060053 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3650 J DEWEY GRAY CIR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523419 | Myron D F Collins | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2005-07-28 |
| 1699380493 | Jaison D Majzer | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2020-09-09 |
| 1750833729 | Kathleen Devan Early | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2016-10-26 |
| 1225458755 | Aos Surgery Center LLC | Clinic/Center | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2014-04-23 |
| 1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
| 1114238474 | Nicholas Michael Capito | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909 | 2010-07-01 |
| 1174858310 | Jason Donald Lee | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1003141243 | Stacy Leigh Rush | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1972838118 | Derek Martin Lamb | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1366776866 | Michael Frederic Pruitt | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122962 | Spine Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy Ste 130a, Atlanta, GA 30328-3495 | 2018-01-26 |
| 1295243061 | Joint Replacement Cin of Atlanta LLC | Orthopaedic Surgery | 10 Glenlake Pkwy # 130b, Atlanta, GA 30328-3495 | 2018-01-16 |
| 1124568480 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 109 Fairview Park Dr, Dublin, GA 31021-2562 | 2017-03-06 |
| 1588056873 | Spinecentersavannah, LLC | Orthopaedic Surgery | 1266 W Paces Ferry Rd Nw, Box 437, Atlanta, GA 30327-2306 | 2015-02-24 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1851455877 | Plas T James | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 500, Atlanta, GA 30327-1659 | 2006-12-21 |
| 1376602565 | Premier Orthopaedic Surgery, LLC | Orthopaedic Surgery | 7360 Mcginnis Ferry Rd, Suite E, Suwanee, GA 30024-6603 | 2006-12-06 |
| 1992810105 | Sangwook Tim Yoon | Orthopaedic Surgery | 59 Executive Park South Ne Ste 3000, Atlanta, GA 30329-2208 | 2006-08-20 |
| 1295745081 | Andrew G Cordista | Orthopaedic Surgery | 8 Live Oak Ct, Moultrie, GA 31768-6783 | 2006-08-08 |
| 1952376337 | Todd C Bonvallet | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-02-21 |
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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.