Peter Andrew Bundgard in Tylertown - Emergency Medicine
Peter Andrew Bundgard - NPI 1598784621
Peter Andrew Bundgard is a Emergency Medicine in Tylertown, Mississippi. Peter Andrew Bundgard practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Peter Andrew Bundgard is 1598784621. The last update date is 2007-07-08.
Peter Andrew Bundgard's current location address is 100 Hospital Dr, Tylertown, Mississippi. You can contact this provider via phone number 6018762122. The mailing address for Peter Andrew Bundgard is 100 Hospital Dr, Tylertown, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Andrew Bundgard |
|---|---|
| Address | 100 Hospital Dr, Tylertown, Mississippi |
| Phone Number | 6018762122 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598784621 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Hospital Dr |
|---|---|
| City | Tylertown |
| State | Mississippi (MS) |
| Post Code | 396672022 |
| Phone Number | 6018762122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 15002 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117315 | MS | -- |
Post Comment/ Review Below
What is the Peter Andrew Bundgard's unique identification number?
The Peter Andrew Bundgard has been assigned the NPI (National Provider Identifier) Number 1598784621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Peter Andrew Bundgard's facilities are geographically located?
The facilities of Peter Andrew Bundgard are physically situated at the following location: 100 Hospital Dr, Tylertown, MS, 396672022.
What is Peter Andrew Bundgard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peter Andrew Bundgard is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598784621 to Peter Andrew Bundgard?
The Centers for Medicare & Medicaid Services assigned the 1598784621 to Peter Andrew Bundgard on 2006-07-19.
When was the Peter Andrew Bundgard's information last updated?
The Peter Andrew Bundgard's information was last updated on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN