P Praxis·MD
● Active Type 1 · Individual

DR. Glen Jason Bunn JR., MD

Emergency Medicine·Vidalia, GA· NPI 1487004230 · Enumerated 2016 · 9 years on NPI
Bunn is 1 of 3 emergency medicine providers in Vidalia and 1 of 1991 in Georgia.
NPI age
9 years
Enumerated 2016-06-13
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1991 active emergency medicine providers in Georgia.

NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
2 states
Top 79% — 20% of peers are multi-state
Subspecialties
1
In the 41% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
1 Meadows Pkwy
Vidalia, GA 304748759
📞 9125355555fax 9125355891
Mailing address
1000 Houghton Ave
Saginaw, MI 486025303
📞 9895836800

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1000 Houghton Ave
Saginaw, MI 486025303
📞 9895836800
Location 3
303 Harris Industrial Blvd Ste 5
Vidalia, GA 304748854
📞 9125357000

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #82620MI license #4301110110 taxonomy 207P00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #82620 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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