Provider Demographics
NPI:1780832089
Name:BUNTING, JAMES BLAIR JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BLAIR
Last Name:BUNTING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 FOREST AVENUE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6850
Mailing Address - Country:US
Mailing Address - Phone:804-282-3882
Mailing Address - Fax:804-282-3884
Practice Address - Street 1:513 FOREST AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6850
Practice Address - Country:US
Practice Address - Phone:804-282-3882
Practice Address - Fax:804-282-3884
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01011027962084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry