James Leroy Builteman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME95145 Issued in FL

Practice address

224 Bluebird LN
Saint Augustine, FL 32080-7976

Phone

(904) 315-8642

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Andre J. Nolewajka, MD, PA

  • Cardiovascular Disease Physician
  • Fort Smith, AR
  • NPI 1144224635
  NPD (past)
• Cooper Clinic PA

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1154341931
  NPD (past)
• Prime Medical Imaging, a Division of Radiologists, P.a.

  dba Prime Medical Imaging

  • Medical Specialty Clinic/Center
  • Van Buren, AR
  • NPI 1952318099

  Diagnostic Radiology

  NPD (past)
• Radiologists PA

  dba Prime Medical Imaging

  • Diagnostic Radiology Physician
  • Fort Smith, AR
  • NPI 1780651117
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1841267648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BLUEBIRD LN",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807976",
            "telephone_number": "904-315-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BLUEBIRD LN",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807976",
            "telephone_number": "904-315-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUILTEMAN",
        "first_name": "JAMES",
        "middle_name": "LEROY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95145",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME95145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277959500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00688760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce R Witten MD PA
• Diana Baker Brummer, MSW, LCSW
• Hannah Brusca
• Jamie Lee Buchanan, MOT, LOTR
• Diane Victoria Buhler, COTA
• Kayla Bulik
• Caleb Thomas Bunting, DC
• Ashley Burch
• Burd Mental Health LLC
• Lindsey Burd, PHMNP

• Diagnostic Radiology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.