Provider Demographics
NPI:1790710135
Name:BUNSTER, BARBARA MARY (DPM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARY
Last Name:BUNSTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6012 ALOMA WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9786
Mailing Address - Country:US
Mailing Address - Phone:407-366-2612
Mailing Address - Fax:407-366-2743
Practice Address - Street 1:6012 ALOMA WOODS BLVD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9786
Practice Address - Country:US
Practice Address - Phone:407-366-2612
Practice Address - Fax:407-366-2743
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2039213ES0103X
FLPO 2039213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00960650OtherRAILROAD MEDICARE
FLPO2039OtherLICENSE NUMBER
FLP00960475OtherRAILROAD MEDICARE
FL004381900Medicaid
FLP00960475OtherRAILROAD MEDICARE
FL004381900Medicaid
FLPO2039OtherLICENSE NUMBER
FLU 09446Medicare UPIN