Bushman, Tod Raymond

Bushman, Tod Raymond is an individual health care provider with primary practice located at 660 S Mount Juliet Rd Ste 230 , Mt Juliet TN 37122-3923. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Bushman, Tod Raymond can be contacted via phone (615) 874-9667.

Contact Information

Primary practice address
660 S Mount Juliet Rd Ste 230 Mt Juliet TN 37122-3923
Phone: (615) 874-9667
Fax: (615) 871-9682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X DPM 471 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM 471 Tennessee

Profile Details

NPI number 1417952581
LBN Legal business name Bushman, Tod Raymond
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952581 NPPES
Tennessee MEDICAID Q019425
Tennessee Other 6083425
Tennessee MEDICAID 3376588

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