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

Prof. Tabitha Farley Bucknam, MS

Individual provider Audiologist · NPI 1104938604

Prof. Tabitha Farley Bucknam, MS is a Qualified Audiologist in Burton, Michigan. Qualified in 2001, 25 years ago. Practices with Genesee ENT Associates PC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
25
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1501 S Center Rd Ste B
Burton, MI 48509-1731
Phone: (810) 742-0225
Fax: (810) 742-7990
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1104938604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 1, 2008
Mailing address1501 S Center Rd, Suite B, Burton, MI 48509-1731

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Genesee Ent Associates Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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