Active NPI
Victor William Bustard, M.D.
- Gynecology Physician
- Trent Woods, NC
National Provider Identifier
1407825896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 21254
- Practice address
- 601 Chelsea Rd
Suite 2
Trent Woods, NC 28562-7149 - Phone
- (252) 633-3339
- NPI assigned
- Mar 16, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 21254 | NC | Primary |
Addresses
Primary practice location
601 Chelsea Rd
Suite 2
Trent Woods, NC 28562-7149
Mailing address
601 Chelsea Rd
Suite 2
Trent Woods, NC 28562-7149
Phone (252) 633-3339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20435 | Other | NC | BCBS |
| 8920435 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21254 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407825896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CHELSEA RD",
"address_2": "SUITE 2",
"city": "TRENT WOODS",
"state": "NC",
"postal_code": "285627149",
"telephone_number": "252-633-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CHELSEA RD",
"address_2": "SUITE 2",
"city": "TRENT WOODS",
"state": "NC",
"postal_code": "285627149",
"telephone_number": "252-633-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTARD",
"first_name": "VICTOR",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "21254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20435",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8920435",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trent Woods, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.