Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Corbin Bunnage, PA-C

Individual provider Physician Assistant · NPI 1447325485

Mr. Corbin Bunnage, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2003, 23 years ago. Practices with Sterling Provider Group, a 53-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone: (208) 542-9111
Fax: (208) 542-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-267 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-267 (ID)

Record details

NPI number1447325485
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMay 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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