Provider Demographics
NPI:1740271253
Name:BUNKERS, BRANDY KAY (MSW, CSW-PIP)
Entity type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:KAY
Last Name:BUNKERS
Suffix:
Gender:F
Credentials:MSW, CSW-PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 W 57TH ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3146
Mailing Address - Country:US
Mailing Address - Phone:605-231-9308
Mailing Address - Fax:
Practice Address - Street 1:101 S REID ST
Practice Address - Street 2:SUITE 307
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7030
Practice Address - Country:US
Practice Address - Phone:605-221-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD23511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical