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ANTJUAN MANDWELL BUNN
NPI 1790316206
Specialist - Prosthetics Case Management in College Park, MD

Active since February 03, 2020
8147 BALTIMORE AVE STE C, COLLEGE PARK, MD 20740(240) 398-1909 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2020, Feb 3, 2020 (2 updates tracked since 2020).

About Antjuan Mandwell Bunn NPPES

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

ANTJUAN MANDWELL BUNN (NPI 1790316206) is an individual prosthetics case management provider in College Park, Maryland, licensed in Maryland (221886) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1790316206
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameANTJUAN MANDWELL BUNN
Location Address8147 BALTIMORE AVE STE CCollege Park, MD 20740-2492
Mailing Address3421 Newton StMount Rainier, MD 20712-2123 · (240) 398-1909
Phone(240) 398-1909
Sole ProprietorYes
Enumeration DateFebruary 3, 2020
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
✔ NPI 1790316206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in MD · 221886
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

8147 BALTIMORE AVE STE C, College Park, MD 20740
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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 Antjuan Bunn's NPI number?

The NPI number for Antjuan Bunn is 1790316206. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Antjuan Bunn located?

Antjuan Bunn practices at 8147 Baltimore Ave Ste C, College Park, MD 20740. The listed phone number is (240) 398-1909.

What is Antjuan Bunn's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Antjuan Bunn was last updated on February 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.