Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack H Bumgardner Jr., MD

Individual provider Family Medicine Physician · NPI 1659351856

Dr. Jack H Bumgardner Jr., MD is a Family Medicine Physician in Rocky Mount, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

195 Maple Ave
Rocky Mount, VA 24151-1506
Phone: (540) 483-5168
Fax: (540) 483-5835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101-021970 (VA)

Record details

NPI number1659351856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESMarch 28, 2014

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