Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexa Rose Bumgarner

Individual provider Physician Assistant · NPI 1205654829

Alexa Rose Bumgarner is a Physician Assistant in North Wilkesboro, North Carolina. Qualified in 2024, 2 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

1916 W Park Dr
North Wilkesboro, NC 28659-3563
Phone: (336) 839-9563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15374 (NC)

Record details

NPI number1205654829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address1916 W Park Dr, North Wilkesboro, NC 28659-3563

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Wilkesboro