BRANDON BUSHONG D.D.S.
NPI 1336404078
Dentist in Detroit, MI

Q: What is Brandon Bushong's NPI number?

The NPI number for Brandon Bushong is 1336404078. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Brandon Bushong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Bushong was last updated on July 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2012PECOS Enrolled

2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6660 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brandon Bushong D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON BUSHONG D.D.S. (NPI 1336404078) is an individual dentist in Detroit, Michigan, licensed in Missouri (2012015439) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336404078

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRANDON BUSHONGCredential: D.D.S.

Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576

Mailing Address2700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · (313) 494-6660

Phone(313) 494-6660

Sole ProprietorNo

Enumeration DateJuly 9, 2012

✔ NPI 1336404078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2012015439

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Bushong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWATI DINESH CHITRE DDS,MSD

Dentist