Individual
DR. TOD RAYMOND BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
660 S MOUNT JULIET RD STE 230, MT JULIET, TN 37122-3923
(615) 874-9667
(615) 871-9682
Mailing address
660 S MOUNT JULIET RD STE 230, MT JULIET, TN 37122-3923
(615) 874-9667
(615) 871-9682
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
DPM 471
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM 471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376588
—
TN
01
—
6083425
BCBS TN
TN
05
—
Q019425
—
TN
Enumeration date
06/16/2005
Last updated
02/10/2026
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