Individual provider Active NPI

Anne Thu-Anh Bui, MD

  • Internal Medicine Physician
  • Jacksonville Beach, FL
National Provider Identifier
1023212628
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP1-0022276 Issued in TX
Practice address
50 3Rd Ave S Apt 803
Jacksonville Beach, FL 32250-6780
Phone
(409) 354-1961
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP1-0022276 TX Primary

Addresses

Primary practice location

50 3Rd Ave S Apt 803
Jacksonville Beach, FL 32250-6780

Mailing address

50 3Rd Ave S Apt 803
Jacksonville Beach, FL 32250-6780
Phone (409) 354-1961

Other identifiers 1

IdentifierTypeStateIssuer
2775835246OtherMYUTMB 2775835246-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0022276TXMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1023212628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 3RD AVE S APT 803",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506780",
            "telephone_number": "409-354-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 3RD AVE S APT 803",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506780",
            "telephone_number": "409-354-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "ANNE",
        "middle_name": "THU-ANH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-0022276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2775835246-COMMERCIAL NUMBER",
            "identifier": "2775835246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.