Individual provider Active NPI

Bushra Zafar Osmani, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbia, TN
National Provider Identifier
1760746127
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
62157 Issued in TN
Practice address
854 W James M Campbell Blvd Ste 100
Columbia, TN 38401-4792
Phone
(931) 490-7050
Fax
(931) 490-7051
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.061176 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 69994 WI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 62157 TN Primary

Addresses

Primary practice location

854 W James M Campbell Blvd Ste 100
Columbia, TN 38401-4792

Mailing address

854 W James M Campbell Blvd Ste 100
Columbia, TN 38401-4792
Phone (931) 490-7050

Other practice location 1

W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 253-5400

Other practice location 2

4646 N Marine Dr
Suite 7100
Chicago, IL 60640-5759
Phone (773) 564-5235

Other practice location 3

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-6723

Other identifiers 2

IdentifierTypeStateIssuer
Q069196MedicaidTN
1760746127MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826000272 TN Practitioner - Endocrinology 6406079151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62157TNMDEndocrinology, Diabetes & Metabolism Physician
69994WIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Marshall Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Weiss Memorial Hospital Internal Medicine Past Accepting new patients
Maury Regional Hospital Marshall Medical Center Past Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 100
Columbia, TN 38401
Phone (931) 380-0075

854 W James M Campbell Blvd
Ste 403
Columbia, TN 38401
Phone (931) 380-0075

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1760746127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES M CAMPBELL BLVD STE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014792",
            "telephone_number": "931-490-7050",
            "fax_number": "931-490-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W JAMES M CAMPBELL BLVD STE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014792",
            "telephone_number": "931-490-7050",
            "fax_number": "931-490-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W129N7055 Northfield Dr",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "53051",
            "country_code": "US",
            "telephone_number": "262-253-5400",
            "fax_number": "252-253-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 N Marine Dr",
            "address_2": "Suite 7100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "773-564-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-6723",
            "fax_number": "414-955-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSMANI",
        "first_name": "BUSHRA",
        "middle_name": "ZAFAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.061176",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WI",
            "license": "69994",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "62157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069196",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760746127",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.