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DR. JACK H BUMGARDNER JR. MD
NPI 1659351856
Family Medicine in Rocky Mount, VA

Active since January 23, 2006
195 MAPLE AVE, ROCKY MOUNT, VA 24151(540) 483-5168(540) 483-5835 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack H Bumgardner Jr. Md NPPES

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

DR. JACK H BUMGARDNER JR. MD (NPI 1659351856) is an individual family medicine provider in Rocky Mount, Virginia, licensed in Virginia (0101-021970) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1659351856
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK H BUMGARDNER JR.Credential: MD
Location Address195 MAPLE AVERocky Mount, VA 24151-1506
Mailing Address195 Maple AveRocky Mount, VA 24151-1506 · (540) 483-5168
Phone(540) 483-5168
Fax(540) 483-5835
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 28, 2014
✔ NPI 1659351856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101-021970
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
195 MAPLE AVE, Rocky Mount, VA 24151
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Other Identifiers 4

Medicare PIN080005667VA
Medicare PIN018144C18VA
Medicare UPINB09929
Medicaid005623669VA

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 Jack Bumgardner's NPI number?

The NPI number for Jack Bumgardner is 1659351856. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jack Bumgardner located?

Jack Bumgardner practices at 195 Maple Ave, Rocky Mount, VA 24151. The listed phone number is (540) 483-5168.

What is Jack Bumgardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Bumgardner was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.