Bianca Pullen Busch, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

T0436 Issued in TX

Practice address

10300 N Central Expy Ste 280
Dallas, TX 75231-8666

Phone

(617) 383-4405

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elevate Family Psychiatry and Therapy

  • Child & Adolescent Psychiatry Physician
  • Arlington, TX
  • NPI 1700582319
  NPD Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1194175927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318666",
            "telephone_number": "617-383-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 280",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318666",
            "telephone_number": "617-383-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 East 47th Street, Bldg #2",
            "address_2": "Suites #111 and #112",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60653",
            "country_code": "US",
            "telephone_number": "617-383-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Washington St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457622",
            "country_code": "US",
            "telephone_number": "617-383-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "BIANCA",
        "middle_name": "PULLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "278551",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125069362",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "315399",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T0436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Lee Bury, MD
• Jenna Marie Burzinski, M.A.
• Elizabeth Busbey, LPC-S
• Candace Busby, LMT
• Patrick Busby
• Lyndon John Busch, MD
• Abigail Bush, MS,NCC,LPC
• Avery Fontaine Bush, LPC
• Beverly Bush, LMSW
• Braxton Emon Bush

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.