Doctor profile · Federal record
Dr. Jack Bandura, MD
Cardiovascular Disease Physician · Memphis, TN
- NPI 1174628010
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5959 Park Ave
Memphis, TN 381195200
(901) 765-2057
fax (901) 765-2077 - Mailing address
-
Po Box 1000
Memphis, TN 381480001
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- Tennessee #9908
- Medicaid
- TN #3859780
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174628010. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$41
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $40.97 |
By nature of payment
Frequently asked questions
What is Dr. Jack Bandura's medical specialty?
Dr. Jack Bandura practices Cardiovascular Disease Physician in Memphis, TN.
Where does Dr. Jack Bandura practice?
Dr. Jack Bandura practices at 5959 Park Ave, Memphis, TN 381195200. Office phone: 9017652057.
What is Dr. Jack Bandura's NPI?
Dr. Jack Bandura's National Provider Identifier (NPI) is 1174628010, issued by NPPES.