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

Dr. Timothy G Bussert, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1306333687

Dr. Timothy G Bussert, MD is an Obstetrics/Gynecology in Jackson, Wyoming. Qualified in 2022, 4 years ago. Practices with Teton County Hospital District, a 112-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 E Broadway Ave Ste 108
Jackson, WY 83001-8640
Phone: (307) 734-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 315831 (NY)

Record details

NPI number1306333687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2018
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address555 E Broadway Ave Ste 108, Jackson, WY 83001-8640

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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