DR. DARRELL A BUNCH (NPI# 1710974811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710974811 |
| Entity Type | Individual |
| Full Name | DR. DARRELL A BUNCH |
| Credential | D.O. |
| Practice Address |
4002 Technology Ctr Longview TX 75605-2697 |
| Mailing Address |
402 N Kaufman St Linden TX 75563-5234 |
| Practice Telephone | 9032470484 |
| Practice Fax Number | 9032470485 |
| Mailing Telephone | 9037565581 |
| Mailing Fax Number | 9037565005 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P0817 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 1330 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 286300301 | 05 | |
| AZ | 227977 | 05 |
| Street Address |
4002 TECHNOLOGY CTR |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596096 | Trent Eugene Gale | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2005-08-24 |
| 1528518339 | Frances Ridenour | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2016-10-05 |
| 1205258753 | Stacy Nicole Bratcher | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2014-01-16 |
| 1104147339 | Onesource Home Care, Inc. | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-06-22 |
| 1114240587 | Phynet, Inc | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
| 1558684944 | Phynet, Inc | Clinic/Center | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
| 1144245176 | Phynet Inc | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-12 |
| 1386674711 | Ted Dawson Trimble | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-03 |
| 1780662643 | Wayne N Leeves | General Practice | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-01-02 |
| 1245214873 | Grace Independent Home Care, Inc. | Home Health | 4002 Technology Ctr, Longview, TX 75605 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337747 | Sheila R Brinkman | Family Medicine | 203 Ithaca Dr, Longview, TX 75604-0610 | 2019-10-11 |
| 1750816559 | Elizabeth Brouillette | Family Medicine | 1103 Regina St, Longview, TX 75605-1527 | 2017-04-29 |
| 1649416108 | Gregory N Payne, Md, Pa | Family Medicine | 107 Prairie Ln, Longview, TX 75605-7347 | 2009-01-05 |
| 1912167909 | Lewis A Browne Md Pa | Family Medicine | 3204 N 4th St, Longview, TX 75605-5143 | 2008-06-12 |
| 1134206303 | George Kenneth Marshall | Family Medicine | 717 N 4th St, Longview, TX 75601-5438 | 2006-11-01 |
| 1053421586 | Joseph Leslie Davis | Family Medicine | 2807 36th Ave, Longview, WA 98632-5309 | 2006-08-30 |
| 1043224223 | John Layton Wright Jr. | Family Medicine | 802 Medical Dr Ste 401, Longview, TX 75605-5206 | 2006-07-27 |
| 1619997319 | Ramon G. Villafria | Family Medicine | 1107 E. Marshall Ave., Longview, TX 75601 | 2006-07-19 |
| 1790704377 | Lewis A Browne | Family Medicine | 3204 N Fourth St, Longview, TX 75605-5110 | 2006-07-18 |
| 1417924473 | Donald A Pierson | Family Medicine | 805 Medical Circle Dr., Longview, TX 75605 | 2006-03-08 |
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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.