Active NPIIndividual providerSole proprietor

Bruce W Bundy, PSYD

Psychologist, Clinical in Bend, Oregon

NPI Number1851452221
Practice location
1569 SW Nancy Way Ste 5, Bend, OR 97702-3234
Fax
541-382-6003
Last updated
July 8, 2007

Bruce W Bundy, PSYD is a Psychologist, Clinical based in Bend, OR. Bruce W Bundy, PSYD holds the professional credentials of PSYD. The NPI number for Bruce W Bundy, PSYD is 1851452221 and holds license No. 0752 (OR). The current practice location address is 1569 SW Nancy Way Ste 5, Bend, OR 97702-3234 and the office can be reached by phone at 541-382-0279 and by fax at 541-382-6003. The NPI was assigned on December 12, 2006 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1851452221
Provider Name
Bruce W Bundy
Credential
PSYD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Enumeration Date
December 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
1569 SW Nancy Way Ste 5
Bend, OR 97702-3234
City
Bend
State
Oregon
ZIP
97702-3234
Country
US
Phone Number
541-382-0279
Fax Number
541-382-6003

Get directions →

✉Business Mailing Address

Address
1569 SW Nancy Way Ste 5
Bend, OR 97702-3234
City
Bend
State
OR
ZIP
97702-3234
Phone Number
541-382-0279
Fax Number
541-382-6003

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychologist, Clinical103TC0700XYes0752OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Bruce W Bundy, PSYD?

The NPI number of Bruce W Bundy, PSYD is 1851452221. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Bruce W Bundy, PSYD?

Bruce W Bundy, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X) and holds license No. 0752 (OR).

Where does Bruce W Bundy, PSYD practice?

The practice location is 1569 SW Nancy Way Ste 5, Bend, OR 97702-3234. The office can be reached at 541-382-0279 (phone) or 541-382-6003 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851452221 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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