# TOD R BUSHMAN DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetic Foot Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447450259
- **Authorized official:** HEATHER M MOON (OFFICE MANAGER)
- **Authorized official phone:** (615) 885-4424

## Contact information

- **Practice address:** 5653 FRIST BLVD STE 441, HERMITAGE, TN 37076-2062
- **Practice address phone:** (615) 885-4424
- **Practice address fax:** (615) 872-2707
- **Mailing address:** 5653 FRIST BLVD STE 441, HERMITAGE, TN 37076-2062
- **Mailing address phone:** (615) 885-4424
- **Mailing address fax:** (615) 872-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | DPM471 | TN | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 12/08/2009