BERTRAND N. EBUNJI MD – NPI #1629721667
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BERTRAND EBUNJI is a physician located in PATUXENT RIVER, MD. NPPES has assigned the NPI number 1629721667 to BERTRAND EBUNJI on January 31, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Apr 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BERTRAND EBUNJI below.

NPI Profile for
BERTRAND N. EBUNJI

NPI Number
1629721667
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BERTRAND N. EBUNJI
Credentials
MD
Primary location
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD 20670-1540
Phone: (301) 342-0029 Fax: (301) 342-4054
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101279747
171000000X
- Military Health Care Provider

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.