Wellformed AI

NPI 1316467756 · live from the CMS NPI Registry

Stephanie Bustros, MD

Psychiatry & Neurology, Epilepsy in Columbia, MO. National Provider Identifier 1316467756, active.

NPI record

NPI1316467756 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Epilepsy 2084E0001X
Practice location402 N Keene St, Columbia, MO 65201
Practice phone573-882-1515
Mailing addressPo Box 843966, Kansas City, MO 64184
EnumeratedJune 27, 2017
Last updatedJuly 10, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X2022049679 (MO)
Psychiatry & Neurology, Epilepsy primary2084E0001X2022049679 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.