| Nathan Bumbarger, MD | |
| 
					1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638  | |
| (210) 292-7934 | |
| (210) 292-7934 | 
| Full Name | Nathan Bumbarger | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Body Imaging | 
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568845667 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | D0095945 (Maryland) | Primary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 0116027992 (Virginia) | Secondary | 
| Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20040223000685  | 
| Entity Name | University Imaging Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245245307 PECOS PAC ID: 2769378686 Enrollment ID: O20040226000325  | 
| Entity Name | University Of Maryland Diagnostic Radiology, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467996959 PECOS PAC ID: 0345513248 Enrollment ID: O20170828004107  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nathan Bumbarger, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: () -  | Nathan Bumbarger, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7934  | 
Dr. Hannah Ghong-ju Ahn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4482  | |
Kyle James Stevens, DO Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-228-6921  | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225  | |
Jennifer Berrie Henning, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2931  | |
Charles Nicolas Crain,  Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255  | |
Steven Robert Hole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-539-9582  | |
Dr. Kara M Van De Kieft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225  |