Bradley John Bush, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1010 Issued in MN

Practice address

105 New England PL
Suite 220
Stillwater, MN 55082-5783

Phone

(651) 342-1043

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Socialvite, Inc

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1215601299
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1124236245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PL",
            "address_2": "SUITE 220",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825783",
            "telephone_number": "651-342-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PL",
            "address_2": "SUITE 220",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825783",
            "telephone_number": "651-342-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann J Bunczak Reeh, DDS MS
• Jennifer Burandt, CCC-SLP
• Valerie Sarno Burgess, M.S.,CCC-SLP
• Brian E Burns, LMFT
• Scott H Burns, LCPC
• Rebecca Ann Bush, ND
• Ashley Bushman
• Buurtzorg USA
• Anna Lin Bzdok, AU.D.
• Elizabeth McMillen Campbell

• All providers in Stillwater, MN
• Naturopath in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.