Daniel E. Bustos, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41455 Issued in TN

Legal business name

DANIEL E. BUSTOS, M.D., P.C.

Practice address

1725 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2248

Phone

(541) 868-6020

Fax

(888) 947-3846

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Daniel Eduardo Bustos, M.D.

Title

M.D./Owner

Phone

(541) 868-6020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1407193337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10791",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290016",
            "telephone_number": "541-868-6020",
            "fax_number": "888-947-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY STE 120",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292248",
            "telephone_number": "541-868-6020",
            "fax_number": "888-947-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Carl Adams Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294375",
            "country_code": "US",
            "telephone_number": "615-716-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL E. BUSTOS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "541-868-6020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "41455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.