Provider Demographics
NPI:1760486302
Name:BUMPUS, HELEN M (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:BUMPUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:226 SE DEBELL
Mailing Address - Street 2:BLDG A
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006
Mailing Address - Country:US
Mailing Address - Phone:918-338-3777
Mailing Address - Fax:918-331-2346
Practice Address - Street 1:3450 E FRANK PHILLIPS
Practice Address - Street 2:SUITE 100
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2401
Practice Address - Country:US
Practice Address - Phone:918-338-3777
Practice Address - Fax:918-331-2346
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2011-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK12376208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100192200BMedicaid
2050439602OtherFIRST GUARD HEALTH
KS100146380BMedicaid
OK100192200AMedicaid
A002OtherTRI CARE STD