Provider Demographics
NPI:1801840194
Name:DUNNAN, JAMES BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BERNARD
Last Name:DUNNAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5130 BRADENTON AVE
Mailing Address - Street 2:STE A
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-734-1100
Mailing Address - Fax:614-734-1900
Practice Address - Street 1:5130 BRADENTON AVE
Practice Address - Street 2:STE A
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-734-1100
Practice Address - Fax:614-734-1900
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2019-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35061998207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0854446Medicaid
E97283Medicare UPIN
OH0854446Medicaid