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NPI profile

MARK BUZZARD

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1508954173
Entity type
NPI-1
Primary taxonomy
2084F0202X
NPI source updated
Sep 11, 2025
Enumeration date
Oct 10, 2006
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING2486264600
LOCATION2486264600

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.