JEFFREY D BUNDRICK DPT
NPI 1366928350
Physical Therapist - Orthopedic in Ellsworth Afb, SD

NPI Status: Active since July 13, 2018

Contact Information

2900 DOOLITTLE DR
ELLSWORTH AFB, SD
ZIP 57706
Phone: (605) 385-6700

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  • Individual
  • Male
  • Physical Therapist
  • Orthopedic

About JEFFREY BUNDRICK

This page provides the complete NPI Profile along with additional information for Jeffrey Bundrick, a provider established in Ellsworth Afb, South Dakota with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1366928350 assigned on July 2018. The practitioner's primary taxonomy code is 2251X0800X with license number 2012027617 (MO). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1366928350
Provider Name
JEFFREY D BUNDRICK DPT
Gender
Male
Entity Type
Individual
Location Address
2900 DOOLITTLE DR ELLSWORTH AFB, SD 57706
Location Phone
(605) 385-6700
Mailing Address
2900 DOOLITTLE DR ELLSWORTH AFB, SD 57706
Mailing Phone
(605) 385-6700
Is Sole Proprietor?
No
Enumeration Date
07-13-2018
Last Update Date
08-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2012027617
License State
MO
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2012027617OTHER (01)MOPHYSICAL THERAPY LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366928350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312618216310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 8 + 2 + 1 + 6 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1366928350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083607535DR. MICHAEL SCOTT BOGAARD O.D.
Individual
Optometrist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3281
1124009956DR. BENJAMIN DON COON DDS
Individual
Dentist (General Practice)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3500
1649258419DR. DANIEL RHEA BOWMAN DDS
Individual
Dentist (General Practice)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3524
1164492534MRS. BETTY MAE SMITH RPT
Individual
Physical Therapist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3676
1841263977DR. RANDY CARL OLIVER O.D.
Individual
Optometrist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3281
1154394278DR. KELVIN K KRAUSE DDS
Individual
Dentist (General Practice)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3560
1649243486DR. RANDY JEAN GULIUZZA MD
Individual
Preventive Medicine (Aerospace Medicine)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3663
1124085196MS. CAROL ROSE SASSE MSW, LCSW-PIP
Individual
Social Worker (Clinical)2900 DOOLITTLE DR SUITE 1M08
ELLSWORTH AFB, SD 57706
(605) 385-3660
1982638409 ELLEN J STEVENS LCSW
Individual
Social Worker (Clinical)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 923-6573
1245253806MS. MARILYN JEAN BENDT M.S.W.
Individual
Social Worker (Clinical)2900 DOOLITTLE DR SUITE 1M08
ELLSWORTH AFB, SD 57706
(605) 385-3656
1407868854 AUDREY MCREAVY PA-C
Individual
Physician Assistant2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3354
1174737811MS. JAN PIER SNEDIGAR MSSW
Individual
Counselor (Mental Health)2900 DOOLITTLE DR 28 MDOS SGOH
ELLSWORTH AFB, SD 57706
(605) 385-3656
1750524955 GINA ANN LAUX IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3664
1326282138MRS. TARA LYNN DOMMERT-HARRISON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3433
1104050624 DIANE RAMIREZ IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 835-3332
1033422696DR. ERIC WALTER JORCZAK PHARM.D.
Individual
Pharmacist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3250
1790856243MR. CRAIG A LEQUATTE RPH
Individual
Pharmacist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3252
1346550159MRS. PATRICIA KAYDI CASSIDY DPT
Individual
Physical Therapist2900 DOOLITTLE DR BLDG 1600, 28 MDOS
ELLSWORTH AFB, SD 57706
(605) 385-1351
1881625523DR. SCOTT JOSEPH KREBS PHD
Individual
Psychologist (Clinical)2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-3656
1942676184MR. JAMES RICHARD PHILLIPS DPT
Individual
Physical Therapist2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
(605) 385-4733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366928350, enumerated in the NPI registry as an "individual" on July 13, 2018

The provider is located at 2900 Doolittle Dr Ellsworth Afb, Sd 57706 and the phone number is (605) 385-6700

The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.