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

Mr. Jacques Emile Bussiere, CSA

Individual provider Surgical Assistant · NPI 1366917627

Mr. Jacques Emile Bussiere, CSA is a Surgical Assistant in Waldorf, Maryland. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2453 Kenbrook Ct
Waldorf, MD 20603-3227
Phone: (301) 257-6191
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1366917627
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedOctober 12, 2018
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

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