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

Nicole Bussiere, MD

Individual provider Family Medicine Physician · NPI 1780065979

Nicole Bussiere, MD is a Family Practice in Henrico, Virginia. Graduated from Texas Tech University Health Science Center School of Medicine in 2015, 11 years ago. Practices with Professional Therapies of Roanoke, Inc, a 278-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
VA
In the registry since
2015
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

3400 Haydenpark Ln Ste 300
Henrico, VA 23233-7867
Phone: (804) 998-1600
Fax: (804) 998-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101276360 (VA)

Record details

NPI number1780065979
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Professional Therapies Of Roanoke, Inc. — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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