Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK H BUMGARDNER JR., MD
ActiveDR. JACK H BUMGARDNER JR., MD is a Family Medicine healthcare provider located in ROCKY MOUNT, Virginia. NPI 1659351856 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROCKY MOUNT, VA
Registration Details
- NPI Number
- 1659351856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.542586980592 yrs)
- Last Updated
- Mar 28, 2014
- License
-
0101-021970 (VA)
Practice Information
- Address
-
195 MAPLE AVEROCKY MOUNT, VA, 241511506Browse VA providers · Browse ZIP 24151
- Phone
- 5404835168
- Fax
- 5404835835
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROCKY MOUNT, VA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL PATRICK JEREMIAH | MD | 1508855727 |
| VERGEL S ATIENZA | MD | 1417931353 |
| DR. CRAIG L BOOKOUT | MD | 1962487223 |
| DR. ROBERT L LAZO | MD | 1689659401 |
| DR. LYNE B AIGNER | MD | 1427035526 |
| EARL MARK WATTS | MD | 1992777965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.