Bstmd, Incorporated

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G75540 Issued in CA

Legal business name

BSTMD, INCORPORATED

Practice address

3585 Maple St
Suite # 205
Ventura, CA 93003-3504

Phone

(805) 654-0926

Fax

(805) 654-0949

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Brian S Taylor, M.D.

Title

Medical Director

Phone

(805) 654-0926

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1205245495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "SUITE # 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033504",
            "telephone_number": "805-654-0926",
            "fax_number": "805-654-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "SUITE # 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033504",
            "telephone_number": "805-654-0926",
            "fax_number": "805-654-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSTMD, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-654-0926",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G75540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G75540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant J. Lum MD (Ventura Ophthalmology Medical Group)
• Crystal Teana Bryant-Smith
• Danika Bryant, PTA
• Matthew Bryant, L.AC.
• Michael Dean Bryman
• Sophie Marie Buchanan, RBT
• Jonathan Michael Bucholz
• Fernando Bucsit
• Sierra Bucy
• Karl Edward Buechsenschuetz, DO

• Neurology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.