Doctor profile · Federal record
Dr. William Buntain, MD
Pediatric Surgery Physician · Surgery Physician · Surgery Physician · Rockford, IL
- NPI 1700902608
- 19 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2350 N Rockton Ave
Rockford, IL 611033600
(815) 971-7255
fax (815) 971-9955 - Mailing address
-
Po Box 26666, Phs Provider Enrollment
Albuquerque, NM 871256666
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- November 22, 2016
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (3)
- Kansas #04-23862 · New Mexico #20030056 · Illinois #036131963
- Medicaid
- NM #35326751
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700902608. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cook Medical LLC | 2 | $19.82 |
By nature of payment
Frequently asked questions
What is Dr. William Buntain's medical specialty?
Dr. William Buntain practices Pediatric Surgery Physician in Rockford, IL.
Where does Dr. William Buntain practice?
Dr. William Buntain practices at 2350 N Rockton Ave, Rockford, IL 611033600. Office phone: 8159717255.
What is Dr. William Buntain's NPI?
Dr. William Buntain's National Provider Identifier (NPI) is 1700902608, issued by NPPES.