MARK C BUGNITZ MD
NPI 1023075249
Pediatrics - Pediatric Critical Care Medicine in Memphis, TN

Q: What is Mark Bugnitz's NPI number?

The NPI number for Mark Bugnitz is 1023075249. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Mark Bugnitz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bugnitz was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2006PECOS Enrolled

848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-7337 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark C Bugnitz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK C BUGNITZ MD (NPI 1023075249) is an individual pediatric critical care medicine provider in Memphis, Tennessee, licensed in Tennessee (18163) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1023075249

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMARK C BUGNITZCredential: MD

Location Address848 ADAMS AVEMemphis, TN 38103

Mailing AddressPo Box 5135Memphis, TN 38101-5135 · (901) 287-7337 · Fax (901) 287-6336

Phone(901) 287-7337

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateMay 30, 2018

✔ NPI 1023075249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TN · 18163

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

848 ADAMS AVE, Memphis, TN 38103

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Secondary Practice Location 1

Location 11910 Nonconnah Blvd, Suite 120Memphis, TN 38132-2113 · Phone (901) 448-2300 · Fax (901) 448-6657

Other Identifiers 1

Medicaid3028713TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark C Bugnitz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENN T WETZEL MD

Pediatrics (Pediatric Cardiology)