Individual provider Active NPI

Brittany Busse, MD

  • General Practice Physician
  • Folsom, CA
National Provider Identifier
1063649275
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A113710 Issued in CA
Practice address
1201 E Bidwell St
Folsom, CA 95630-3450
Phone
(916) 920-6337
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A113710 CA Primary

Addresses

Primary practice location

1201 E Bidwell St
Folsom, CA 95630-3450

Mailing address

1201 E Bidwell St
Folsom, CA 95630-3450
Phone (916) 920-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001158 CA Practitioner - General Practice 4183850985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Wisconsin School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Embarcadero Ctr
Suite 1400
San Francisco, CA 94111-4164
Phone (415) 324-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113710CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitel Health Physician Services Cooperative General Practice CurrentSince Nov 7, 2024 Accepting new patients

Locations

4 Embarcadero Ctr
Ste 1400
San Francisco, CA 94111
Phone (415) 324-8808

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1063649275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303450",
            "telephone_number": "916-920-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303450",
            "telephone_number": "916-920-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "BRITTANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A113710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.