DR. TOD RAYMOND BUSHMAN (NPI# 1417952581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417952581 |
| Entity Type | Individual |
| Full Name | DR. TOD RAYMOND BUSHMAN |
| Credential | DPM |
| Practice Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Mailing Address |
5651 Frist Blvd Ste 200 Hermitage TN 37076-2054 |
| Practice Telephone | 6158516033 |
| Practice Fax Number | 6158512018 |
| Mailing Telephone | 6158850200 |
| Mailing Fax Number | 6158850267 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
DPM 471 | TN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM 471 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3376588 | 05 | |
| TN | BCBS TN | 6083425 | 01 |
| TN | Q019425 | 05 |
| Street Address |
3024 BUSINESS PARK CIR |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650559 | Jessica Julian | Nurse Practitioner | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2020-05-08 |
| 1083266761 | Adi Radiology, PC | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2019-07-12 |
| 1447797055 | Meghan Tomlinson Jenkins | Nurse Practitioner | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2017-01-21 |
| 1285072280 | John Michael Ponting | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2013-06-12 |
| 1184990574 | Stephen M Fisher | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072 | 2012-03-29 |
| 1356610745 | Katie H Hill | Nurse Anesthetist, Certified Registered | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2011-12-14 |
| 1215257670 | Andrew R. Hutchens | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2010-06-09 |
| 1730416249 | John Matthew Bratcher | Nurse Anesthetist, Certified Registered | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-11-05 |
| 1659606788 | Dana N Bonaminio | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-10-07 |
| 1205070851 | Manish Patel | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366619199 | Paul W. Hutchison | Podiatrist | 1723 Highway 51 S Ste C, Covington, TN 38019-3628 | 2008-05-12 |
| 1891914545 | Michael Warren Lawrence | Podiatrist | 1018 Dallas Rd Ste 304, Chattanooga, TN 37405-2707 | 2007-04-24 |
| 1093838187 | Paul William Hutchison, Dpm | Podiatrist | 7878 Winchester Road, Memphis, TN 38125 | 2007-04-06 |
| 1548304405 | Richard S. Eby | Podiatrist | 3603 E Ringgold Rd, Chattanooga, TN 37412-1247 | 2007-02-16 |
| 1841308244 | Joseph Bernard Neubauer | Podiatrist | 1719 Wiltshire Dr, Murfreesboro, TN 37129-1085 | 2006-08-26 |
| 1568473320 | Robert J Schreiber | Podiatrist | 1705 Wedgewood Dr, Columbia, TN 38401-3529 | 2006-08-10 |
| 1750305892 | Gary Marc Mantell | Podiatrist | 5180 Park Ave Ste 220, Memphis, TN 38119-3530 | 2006-07-26 |
| 1730101734 | Maryville Foot Clinic Inc | Podiatrist | 1515 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2006-07-25 |
| 1760410260 | Robert Tucker Spalding Jr. | Podiatrist | 1225 Taft Hwy, Signal Mountain, TN 37377-3251 | 2006-06-30 |
| 1588616098 | Mark B Hellmann | Podiatrist | 1855 Tanner Way Ste 130, Harriman, TN 37748-8331 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
Please comment or provide details below to improve the information on DR. TOD RAYMOND BUSHMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.