TIMOTHY DOUGLAS BUNDY D.O.
NPI 1396973764
Physical Medicine & Rehabilitation - Pain Medicine in Tampa, FL

Q: What is Timothy Bundy's NPI number?

The NPI number for Timothy Bundy is 1396973764. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Timothy Bundy's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: Is Timothy Bundy enrolled in Medicare?

No. Timothy Bundy has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bundy was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 June 24, 2009Opted out of Medicare · through Dec 17, 2026

324 S HYDE PARK AVE STE 275, TAMPA, FL 33606(816) 916-2081(813) 354-3448 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2021, Mar 13, 2017, Dec 15, 2015 (3 updates tracked since 2015).

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About Timothy Douglas Bundy D.o. NPPES

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

TIMOTHY DOUGLAS BUNDY D.O. (NPI 1396973764) is an individual pain medicine provider in Tampa, Florida, licensed in Florida (OS11805) and active in the NPI registry since June 2009. He has opted out of Medicare through December 17, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396973764

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameTIMOTHY DOUGLAS BUNDYCredential: D.O.

Location Address324 S HYDE PARK AVE STE 275Tampa, FL 33606-4118

Mailing Address324 S Hyde Park Ave Ste 275Tampa, FL 33606-4118 · (816) 916-2081 · Fax (813) 354-3448

Phone(816) 916-2081

Fax(813) 354-3448

Sole ProprietorNo

Enumeration DateJune 24, 2009

Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1396973764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in FL · OS11805

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

324 S HYDE PARK AVE STE 275, Tampa, FL 33606

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Timothy Douglas Bundy D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2020 through December 17, 2026.

Opt-Out Effective DateDecember 17, 2020

Opt-Out In Effect ThroughDecember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Timothy Bundy's NPI number?

The NPI number for Timothy Bundy is 1396973764. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Timothy Bundy located?

Timothy Bundy practices at 324 S Hyde Park Ave Ste 275, Tampa, FL 33606. The listed phone number is (816) 916-2081.

What is Timothy Bundy's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Timothy Bundy enrolled in Medicare?

No. Timothy Bundy has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Timothy Bundy accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Timothy Bundy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Bundy was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.