Kyle Andrew Busby, PHYSICIAN ASSISTANT

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

11335 SSG Sims St
Fort Bliss, TX 79918

Phone

(915) 744-2273

NPI assigned

Apr 4, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1952863250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 FORGAN WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113031",
            "telephone_number": "703-786-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-744-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Kenneth Buccini, AU.D.
• Rebecca Burcham, MSOTR/L
• Cassidy L Burger, DO
• Jacob Burney
• Kathleen Kay Burns, LCSW
• Bryce Butler, PA-C
• Heather Butts, M.D.
• Gonzalo Felix Cacho-Santaella
• Denise Marie Cacho, DMD
• Michael S Cahill, M.D.

• Military Health Care Provider in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Military Health Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.