Individual provider · Type 1 NPI

Rebecca Kathleen Bumgardner, PA

Physician Assistant · Decatur, IL

NPI number 1669164596 Active

Practice location

4455 E US Route 36
Decatur, IL 62521-5003

Fax (217) 876-5865

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669164596

Rebecca Kathleen Bumgardner, PA's National Provider Identifier is 1669164596, issued on May 19, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Decatur, IL. The record was last updated on Sep 8, 2026.