NPIMap

Individual provider Active NPI

Jeff W Bush, M.D.

  • Family Medicine Physician
  • Eufaula, AL
National Provider Identifier
1114951563
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19771 Issued in AL
Practice address
617 East Broad Street
Ste a
Eufaula, AL 36027
Phone
(334) 687-3836
Fax
(334) 687-0725
NPI assigned
Jul 10, 2006
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19771 AL Primary

Addresses

Primary practice location

617 East Broad Street
Ste a
Eufaula, AL 36027

Mailing address

617 E. Broad St.
Ste a
Eufaula, AL 36027
Phone (334) 687-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000134 AL Practitioner - Family Practice 4981607058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

617 E Broad St
Suite a
Eufaula, AL 36027-1710
Phone (334) 687-3836

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Montgomery, PC PastSince Aug 21, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jwbush@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1114951563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E. BROAD ST.",
            "address_2": "STE A",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "36027",
            "telephone_number": "334-687-3836",
            "fax_number": "334-687-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 EAST BROAD STREET",
            "address_2": "STE A",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "36027",
            "telephone_number": "334-687-3836",
            "fax_number": "334-687-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JEFF",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

Verify at the official NPI Registry.