Randall Earl Bundy

Randall Earl Bundy is a healthcare organization registered as Psychologist in Brainerd, MN, holding Type 2 (organization) NPI 1649367806 since 2006. The authorized official on file is Randy Bundy, Owner.

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NPI	1649367806
Entity type	Organization (Type 2)
Legal business name	Randall Earl Bundy
Practice address	510 BLUFF AVE, Brainerd, MN, 56401
Phone	2188291063
Enumeration date	2006-10-09
Last updated in NPPES	2008-08-01

Authorized official

Name	Randy Bundy
Title	Owner
Phone	2188291063

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
103T00000X	Psychologist	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
9050AD	Other	MN	BCBS
122361	Other	MN	UCARE
5066093	Other	MN	MEDICA
8115555100	Medicaid	MN	—

Copy-ready billing details

Provider: Randall Earl Bundy
NPI: 1649367806
Taxonomy: 103T00000X (Psychologist)
Address: 510 BLUFF AVE, Brainerd, MN, 56401

Verify this record

Cross-check NPI 1649367806 against the authoritative CMS record: view Randall Earl Bundy on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Randall Earl Bundy located?

The practice location on file with NPPES is in Brainerd, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-08-01.