Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Bussone, PA-C

Individual provider Physician Assistant · NPI 1700256245

Bryan Bussone, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2015, 11 years ago. Practices with Sonoran Radiology Ltd, a 465-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone: (480) 722-9828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6190 (AZ)

Record details

NPI number1700256245
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2015
Last updated in NPPESJanuary 6, 2016
Mailing address641 W Warner Rd, Gilbert, AZ 85233-7266

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sonoran Radiology Ltd — 465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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