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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SUCHUNYA BUMRUNG
NPI 1306538459
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since May 25, 2023
1001 SHADOW LN, LAS VEGAS, NV 89106(702) 774-2545 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, May 25, 2023 (2 updates tracked since 2023).

About Suchunya Bumrung NPPES

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

SUCHUNYA BUMRUNG (NPI 1306538459) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since May 2023. She maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1306538459
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUCHUNYA BUMRUNG
Location Address1001 SHADOW LNLas Vegas, NV 89106-4124
Mailing Address1315 Center DrMedford, OR 97501-7984
Phone(702) 774-2545
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1306538459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 SHADOW LN, Las Vegas, NV 89106
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Secondary Practice Location 1

Location 11315 Center DrMedford, OR 97501-7984 · Phone (541) 773-4073

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.

HANNAH RENE FERRARA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 744-2400
HANG DINH
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
MR. NICHOLAS FARDOS
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
HAMED KHANEH-ANGHA
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2545
AUSTIN R COOK
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
SARAH SAEED
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
ANDRADA STANCIU
Student in an Organized Health Care Education/Training Program
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 774-2400
TYLER JAY PISCIOTTA
Dentist (General Practice)
1001 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 321-9350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suchunya Bumrung's NPI number?

The NPI number for Suchunya Bumrung is 1306538459. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Suchunya Bumrung located?

Suchunya Bumrung practices at 1001 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 774-2545.

What is Suchunya Bumrung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Suchunya Bumrung was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.