Active NPI
Robert Bussman
- Nurse Practitioner
- Pea Ridge, AR
National Provider Identifier
1184520405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 239757
- Practice address
- 5303 Hayden Rd
Pea Ridge, AR 72751-1719 - Phone
- (573) 823-0150
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 239757 | AR | Primary |
Addresses
Primary practice location
5303 Hayden Rd
Pea Ridge, AR 72751-1719
Mailing address
5303 Hayden Rd
Pea Ridge, AR 72751-1719
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1184520405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 HAYDEN RD",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "727511719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 HAYDEN RD",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "727511719",
"telephone_number": "573-823-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSMAN",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "239757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pea Ridge, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.