Organization Active NPI

Bush Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
National Provider Identifier
1124340435
Registry record updated Jun 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3373 Issued in FL
Legal business name
BUSH FOOT & ANKLE LLC
Practice address
1640 SW 148TH Ter
Pembroke Pines, FL 33027-2355
Phone
(954) 479-2260
Fax
(954) 241-1644
NPI assigned
Feb 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2010

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

Authorized official

Name
Dr. Nacera Belkheir Bush, DPM
Title
Owner
Phone
(954) 479-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3373 FL Primary

Addresses

Primary practice location

1640 SW 148TH Ter
Pembroke Pines, FL 33027-2355

Mailing address

1640 SW 148TH Ter
Pembroke Pines, FL 33027-2355
Phone (954) 479-2260

National Provider Directory

National Provider Directory

Locations

445 E 25th St
Hialeah, FL 33013
Phone (305) 646-3756

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277596800000",
    "number": "1124340435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SW 148TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272355",
            "telephone_number": "954-479-2260",
            "fax_number": "954-241-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SW 148TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272355",
            "telephone_number": "954-479-2260",
            "fax_number": "954-241-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-06-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "NACERA",
        "authorized_official_middle_name": "BELKHEIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-479-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.