IndividualActive
Jack Bumgardner, MD
NPI 1659351856 · Family Medicine Physician · Rocky Mount, VA
Jack Bumgardner, MD is a Family Medicine Physician provider in Rocky Mount, VA (NPI 1659351856).
Provider details
- NPI number
- 1659351856
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101-021970 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
195 Maple Ave
Rocky Mount, VA 24151-1506
Phone: (540) 483-5168
Fax: (540) 483-5835
Street-level locationGet directions
Mailing address
195 Maple Ave
Rocky Mount, VA 24151-1506
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2014-03-28
Frequently asked questions
- What is Jack Bumgardner's NPI number?
- Jack Bumgardner's National Provider Identifier (NPI) is 1659351856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bumgardner's specialty?
- Jack Bumgardner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Bumgardner located?
- Jack Bumgardner's practice location on file with NPPES is 195 Maple Ave, Rocky Mount, VA 24151-1506.
- What is Jack Bumgardner's phone number?
- The practice phone number listed in the NPPES registry for Jack Bumgardner is (540) 483-5168.
- Is Jack Bumgardner's NPI active?
- Yes — Jack Bumgardner's NPI (1659351856) is active in the NPPES registry as of the last update on 2014-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.