Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Briana Radosevich Bustos, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164952958

Briana Radosevich Bustos, CCC-SLP is a Qualified Speech Language Pathologist in Las Cruces, New Mexico. Qualified in 2014, 12 years ago. Practices with Espanola Sports Medicine PA, a 5-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
12
Licensed in
NM
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1350 Hillrise Cir
Las Cruces, NM 88011
Phone: (575) 522-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6212 (NM)

Record details

NPI number1164952958
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 14, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Espanola Sports Medicine Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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