Individual
PAUL F BUSTION JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 SENATE AVE, INDIANAPOLIS, IN 46202-1228
(317) 274-8800
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01026508A
IN
2084P0800X
Psychiatry Physician
Primary
01026508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333465
ANTHEM
IN
05
—
100333980
—
IN
01
—
P00754211
RR MEDICARE PTAN
IN
Enumeration date
07/26/2006
Last updated
03/04/2025
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