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Contact Information

JACOB J BUNDY, MD
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC27157-5331
 Phone: 336-716-3560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for JACOB J BUNDY · (Male)

NPI # 1902396898
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2018
Last updated 06/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 248513
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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