| Bunn Medical Center Pa | |
|
285 Main Street Bunn NC 27508-0368 | |
| (919) 496-6511 | |
| (919) 496-2889 |
| Full Name | Bunn Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 285 Main Street, Bunn, North Carolina |
| Authorized Official Name and Position | Dhruva Kumar (PRESIDENT) |
| Authorized Official Contact | 9194966511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bunn Medical Center Pa 285 Main Street Bunn NC 27508-0368 Ph: (919) 496-6511 | Bunn Medical Center Pa 285 Main Street Bunn NC 27508-0368 Ph: (919) 496-6511 |
| NPI Number | 1366528358 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224170790 |
|---|---|
| Medicare Enrollment ID | O20100121000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366528358 | NPI | - | NPPES |
| 890186N | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 68505 (North Carolina) | Primary |
| Provider Name | Dhruva Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871524322 PECOS PAC ID: 1254473721 Enrollment ID: I20100121000342 |
| Provider Name | Vanessa M Brosan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598117079 PECOS PAC ID: 2466722756 Enrollment ID: I20170719001831 |
Bunn Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Nc 98 Hwy E Ste 400, Bunn, NC 27508 Phone: 252-200-4959 |