Dr. Peter Jerome Bustamante
Internist Nephrologist
13450 N Meridian St Ste 354
Carmel
, Indiana 46032-1486
Dr. Peter Jerome Bustamante
Internist Nephrologist
13450 N Meridian St Ste 354
Carmel
, Indiana 46032-1486
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Peter Jerome Bustamante
- 250 W 96th St # 520
- Indianapolis, IN
- Zip : 46260-1316
- Phone :
Second Address
- Dr. Peter Jerome Bustamante
- 13450 N Meridian St Ste 354
- Carmel, IN
- Zip : 46032-1486
- Phone : (317) 338-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01060754A | IN |
| N | 111NI0900X | Internist | 01060754A | IN |
| Y | 207RN0300X | Nephrologist | 01060754A | IN |
National Provider Identifier
| NPI | 1063468304 |
|---|---|
| Provider Name | Dr. Peter Jerome Bustamante |
| First Address | Indianapolis, IN 46260-1316 |
| Second Address | Carmel, IN 46032-1486 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 15/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 156096 | (02) | IN |
| 200826270 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.