MR. BRANDON BUSTAMANTE SW19004
NPI 1366108128
Counselor - Mental Health in Tampa, FL

Active since November 16, 2021
3317 W GANDY BLVD, TAMPA, FL 33611(813) 902-8600 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brandon Bustamante Sw19004 NPPES

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

MR. BRANDON BUSTAMANTE SW19004 (NPI 1366108128) is an individual mental health provider in Tampa, Florida, licensed in Florida (SW19004) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366108128
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRANDON BUSTAMANTECredential: SW19004
Location Address3317 W GANDY BLVDTampa, FL 33611-2931
Mailing Address3317 W Gandy BlvdTampa, FL 33611-2931 · (813) 902-8600
Sole ProprietorYes
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1366108128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · SW19004
3317 W GANDY BLVD, Tampa, FL 33611

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
3317 W GANDY BLVD
TAMPA, FL 33611
Internal Medicine (Infectious Disease)
3317 W GANDY BLVD
TAMPA, FL 33611
Family Medicine
3317 W GANDY BLVD
TAMPA, FL 33611
Internal Medicine (Infectious Disease)
3317 W GANDY BLVD
TAMPA, FL 33611
Internal Medicine (Infectious Disease)
3317 W GANDY BLVD
TAMPA, FL 33611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Bustamante's NPI number?

The NPI number for Brandon Bustamante is 1366108128. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Brandon Bustamante located?

Brandon Bustamante practices at 3317 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (813) 902-8600.

What is Brandon Bustamante's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brandon Bustamante was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.