Active NPI
David Ryan Buford
- Massage Therapist
- Cocoa, FL
National Provider Identifier
1366760829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA53628
- Practice address
- 5011 Scott Rd
Cocoa, FL 32926-2616 - Phone
- (321) 698-9279
- NPI assigned
- May 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA53628 | FL | Primary |
Addresses
Primary practice location
5011 Scott Rd
Cocoa, FL 32926-2616
Mailing address
5011 Scott Rd
Cocoa, FL 32926-2616
Phone (321) 698-9279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53628 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284249600000",
"number": "1366760829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 SCOTT RD",
"city": "COCOA",
"state": "FL",
"postal_code": "329262616",
"telephone_number": "321-698-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 SCOTT RD",
"city": "COCOA",
"state": "FL",
"postal_code": "329262616",
"telephone_number": "321-698-9279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFORD",
"first_name": "DAVID",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-08",
"last_updated": "2010-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.