Active NPI
Thomas Paul Bushur, AUD, CCC-A
- Audiologist
- Murfreesboro, TN
National Provider Identifier
1033764915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1917
- Practice address
- 1272 Garrison Dr
Murfreesboro, TN 37129-2598 - Phone
- (615) 867-8110
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1917 | TN | Primary |
Addresses
Primary practice location
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Mailing address
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1917 | Other | TN | TENNESSEE AUDIOLOGY LICENSE |
| 14263173 | Other | ASHA CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1033764915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 GARRISON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 GARRISON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292598",
"telephone_number": "615-867-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHUR",
"first_name": "THOMAS",
"middle_name": "PAUL",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE AUDIOLOGY LICENSE",
"identifier": "1917",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION",
"identifier": "14263173",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.