Blaine Kendell Bushmann, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2023031557 Issued in MO

Practice address

915 S Baltimore St
Kirksville, MO 63501-4027

Phone

(660) 956-9156

Fax

(660) 956-9151

NPI assigned

Aug 9, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearken Hearing & Audiology LLC

  • Audiologist
  • Kirksville, MO
  • NPI 1710498019
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1376226001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014027",
            "telephone_number": "660-956-9156",
            "fax_number": "660-956-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014027",
            "telephone_number": "660-956-9156",
            "fax_number": "660-956-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMANN",
        "first_name": "BLAINE",
        "middle_name": "KENDELL",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2023031557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan G Buckallew, MED, LPC
• Jerry Dean Burbee, DO
• Kelly Douglas Burchett, DO
• Jessica Burgason, ATC/L
• Alex Burr
• David Ernest Butters, MD, FRCS(C)
• Steve Byrn
• Jessica Kile Caine, DO
• Ella Marie Callison, PA-C
• Yania Calvo

• Hearing Instrument Specialist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.