Active NPI
James Michael Bush, NURSE PRACTITIONER
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1063402428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 604549
- Practice address
- 7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114 - Phone
- (806) 698-8088
- Fax
- (806) 698-8588
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 604549 | TX | Primary |
Addresses
Primary practice location
7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114
Mailing address
7008 Indiana Ave
Ste. a
Lubbock, TX 79413-6114
Phone (806) 698-8088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163056801 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Texas Midwest Emergency Physicians PA | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Abilene Diagnostic Clinics
- Podiatrist
- Abilene, TX
- NPI 1043725062
-
dba Abilene Diagnostic Clinic, PLLC
- Specialist
- Abilene, TX
- NPI 1346242567
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
-
- Emergency Medical Services (Emergency Medicine) Physician
- Abilene, TX
- NPI 1740278993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1063402428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 INDIANA AVE",
"address_2": "STE. A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136114",
"telephone_number": "806-698-8088",
"fax_number": "806-669-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 INDIANA AVE",
"address_2": "STE A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136114",
"telephone_number": "806-698-8088",
"fax_number": "806-698-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "604549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163056801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.