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Contact Information

TOD R BUSHMAN, DPM
660 S MOUNT JULIET RD STE 230
MOUNT JULIET, TN37122-3923
 Phone: 615-874-9667
 Fax: 615-871-9682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TOD R BUSHMAN · (Male)

NPI Number 1417952581
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/16/2005
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • TN License # DPM 471
  • TN License # DPM 471
  • TN Medicaid 3376588
  • TN Medicaid Q019425
  • TN Other 6083425 BCBS TN
Hospital affiliation(s)
  • SUMMIT MEDICAL CENTER - (Acute Care)
    5655 FRIST BLVD
    HERMITAGE, TN 37076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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