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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508361007

Justin Bumgardner, MD is an Internal Medicine in Sparks, Nevada. Qualified in 2018, 8 years ago. Practices with Northern Nevada Medical Group LLC, a 87-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2018
Specialties on file
2
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

2375 E Prater Way
Sparks, NV 89434-9641
Phone: (775) 352-5301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 21528 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508361007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address1155 Mill St # W11, Reno, NV 89502-1576

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northern Nevada Medical Group Llc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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