David Vincent Busam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10010 Issued in OH

Practice address

10475 Reading Rd
Suite 209
Cincinnati, OH 45241-2563

Phone

(513) 281-2278

Fax

(513) 221-8219

NPI assigned

Dec 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• East Louisville Interventional Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
  • NPI 1043576572
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1326317207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 READING RD",
            "address_2": "SUITE 209",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412563",
            "telephone_number": "513-281-2278",
            "fax_number": "513-221-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 READING RD",
            "address_2": "SUITE 209",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412563",
            "telephone_number": "513-281-2278",
            "fax_number": "513-221-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSAM",
        "first_name": "DAVID",
        "middle_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10010",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063817",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100207820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo Burwell-Davis
• Angela Burwinkel
• Mary Christine Burwinkel, MD
• Samantha Ann Burwinkel
• Bradley Busacco, M.D.
• Matthew L. Busam, MD
• Tyren Jacob Busby, DO
• Sarah J, Busch, LMFT
• Haley Buschelman
• Amy Buschle, PHARMD

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.