Louise Bryden Buck, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A23446 Issued in CA

Practice address

1961 Vineyard View LN
San Luis Obispo, CA 93401-8210

Phone

(805) 546-8133

Fax

(805) 546-8133

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1912280520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 VINEYARD VIEW LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018210",
            "telephone_number": "805-546-8133",
            "fax_number": "805-546-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 VINEYARD VIEW LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018210",
            "telephone_number": "805-546-8133",
            "fax_number": "805-546-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "LOUISE",
        "middle_name": "BRYDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A23446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Bryant Jr.
• Sabrena Anne Bryce, AMFT
• Paul Brylewski, P.A.
• Brian S Buchanan, DC
• Jeanne Ann Buchanan, OT/L
• Laura Lea Buckert, BSRN, PHN
• Coleen Buckley, LCSW
• Lillian V. Bucton, L.C.S.W.
• Kailey Marie Buczek, PT, DPT
• Stephanie Buenafe, BCBA

• Psychiatry Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.