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

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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