Active NPI
Brandon Charles Busuito, MD
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 281675
- Practice address
- 3909 Woodward Ave Apt 302
Detroit, MI 48201-2088 - Phone
- (248) 425-3973
- NPI assigned
- Apr 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 281675 | MA | Primary |
| Emergency Medicine Physician | 207P00000X | 56115 | TN |
Addresses
Primary practice location
3909 Woodward Ave Apt 302
Detroit, MI 48201-2088
Mailing address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (248) 425-3973
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56115 | TN | MD | Emergency Medicine Physician |
Practice roles
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
910 Washington St
Dedham, MA 02026
Phone (781) 431-1333
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
100 Highland St
Milton, MA 02186
Phone (617) 615-4000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
230 Highland Ave
Somerville, MA 02143
Phone (617) 591-4350
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Urgent Care Clinic/Center
- Quincy, MA
- NPI 1164060778
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Multi-Specialty Clinic/Center
- Quincy, MA
- NPI 1710862420
-
- Urgent Care Clinic/Center
- Dedham, MA
- NPI 1538774443
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871911321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391047",
"telephone_number": "248-425-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 WOODWARD AVE APT 302",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012088",
"telephone_number": "248-425-3973"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSUITO",
"first_name": "BRANDON",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2022-07-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "281675",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "56115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.