DR. GLEN JASON JR. BUNN (MD) – Emergency Medicine Physician, NPI 1487004230

DR. GLEN JASON JR. BUNN (MD) is a healthcare provider. based in Vidalia, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301110110 (MI). The NPI Number for DR. GLEN JASON JR. BUNN (MD) is 1487004230

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLEN JASON JR. BUNN (MD)
NPI
1487004230
Phone
(912) 535-5555
Address
1 MEADOWS PKWY
Enumeration Date
13 June 2016
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125355429
Graduation Year
2016 (10 years ago)
PAC ID
4981957677
Group Practice PAC ID
5395918387
Professional Enrollment ID
I20190619002116
Address ID
GA304748759VI1XXXXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. GLEN JASON JR. BUNN (MD)

  • 1 MEADOWS PKWY

    VIDALIA, GA 304748759

    Phone: (912) 535-5555

    Fax: (912) 535-5891

    Type: Location

  • 1000 Houghton Ave

    Saginaw, MI 486025303

    Phone: (989) 583-6800

    Type: Location

  • 303 Harris Industrial Blvd Ste 5

    Vidalia, GA 304748854

    Phone: (912) 535-7000

    Type: Location

  • Covenant HealthCare, 1000, Houghton Avenue, Saginaw, Saginaw County, Michigan, 48602, United States

    SAGINAW, MI 486025303

    Phone: (989) 583-6800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190619002116IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making206196$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only173160$0
99284Emergency department visit with moderate level of medical decision making129117$0
99291Critical care, first 30-74 minutes7973$0
View full utilization report →

Insurance plans in this area (ZIP 30474)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395918387View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineCA
Emergency MedicineGA
Nurse PractitionerGA
Emergency Medicine, Obstetrics/GynecologyGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal Medicine, Emergency MedicineGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. GLEN JASON JR. BUNN (MD)?
NPI 1487004230 is assigned to DR. GLEN JASON JR. BUNN (MD) under the national enumeration system.
Is DR. GLEN JASON JR. BUNN (MD) active in the national directory?
DR. GLEN JASON JR. BUNN (MD)'s public NPI profile is in an active state.
What field does DR. GLEN JASON JR. BUNN (MD) work in?
You can think of DR. GLEN JASON JR. BUNN (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GLEN JASON JR. BUNN (MD)?
The page summarizes Vidalia, Georgia for DR. GLEN JASON JR. BUNN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. BRUCE M GIOIA (MD)

Internal Medicine Physician
2003 Kingswood Court
NPI: 1427095827
865 S 1st St
NPI: 1033278684

TIMOTHY JUSTIN OSBORNE (M.D.)

Emergency Medicine Physician
619 19th St S
NPI: 1508090366

MONTGOMERY EMERGENCY GROUP, LLC

Emergency Medicine Physician
1703 MEADOWS LN
NPI: 1861773764

DR. ALEC THOMAS COSTON (MD)

Emergency Medicine Physician
1 Meadows Pkwy
NPI: 1639606510

DR. MATTHEW GERRICK WOSTAK (DO)

Emergency Medicine Physician
1120 15th St
NPI: 1659809523