DR. USHIMBRA JUVAL BUFORD (M.D.) – Psychiatry Physician, NPI 1568673390

DR. USHIMBRA JUVAL BUFORD (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME103746 (FL). The NPI Number for DR. USHIMBRA JUVAL BUFORD (M.D.) is 1568673390

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. USHIMBRA JUVAL BUFORD (M.D.)
NPI
1568673390
Phone
(903) 877-7777
Address
11937 US HIGHWAY 271
Enumeration Date
24 May 2007
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6892407945
Graduation Year
2004 (22 years ago)
PAC ID
8729133087
Group Practice PAC ID
7113301680
Professional Enrollment ID
I20090910000178
Address ID
FL347873835WI1223XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. USHIMBRA JUVAL BUFORD (M.D.)

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7777

    Type: Location

  • PO BOX 1559

    BARTOW, FL 338311559

    Phone: (863) 519-0575

    Fax: (863) 582-9251

    Type: Mailing

  • 715 N LAKE AVE

    LAKELAND, FL 338011908

    Phone: (863) 519-0575

    Fax: (833) 582-9251

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753731912

    Phone: (903) 877-7777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($71).

Total Amount

$186

General + Research + Ownership

Payments

10

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090910000178IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113301680View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does DR. USHIMBRA JUVAL BUFORD (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. USHIMBRA JUVAL BUFORD (M.D.) uses 1568673390.
Does the file indicate DR. USHIMBRA JUVAL BUFORD (M.D.) is practicing under active NPI?
Directory data currently reports DR. USHIMBRA JUVAL BUFORD (M.D.) as active.
What is DR. USHIMBRA JUVAL BUFORD (M.D.) best known for clinically?
Directory data describes DR. USHIMBRA JUVAL BUFORD (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. USHIMBRA JUVAL BUFORD (M.D.) list a practice location?
Patients near Tyler, Texas may find DR. USHIMBRA JUVAL BUFORD (M.D.) in results; validate coverage separately.
Why does DR. USHIMBRA JUVAL BUFORD (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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