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Robert Wynston Buntyn

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT BUNTYN.

Based on the most recent information from CMS, provider Robert Wynston Buntyn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1255077186
Provider Type
Individual
Full Name
Buntyn, Robert Wynston
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/12/2022
Last Updated
7/16/2025

Contact Information

Practice Location

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

(210) 252-2655

Unlisted Fax

Mailing Location

1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638

(210) 252-2655

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0102208285 Virginia
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 0102208285 Virginia

Robert Wynston Buntyn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Oberg, Martin R

Hancock, Kristen Rae

Sauceda, Rito

Bane, Nicole Renae

Barenberg, Kathryn Grace

Ketterer, William Albert

Bolduc, Caroline Alice

De, Asha Rachel

Kim, Hyae Hwan

Shaw, Krista Marie