Individual provider Active NPI

Cody Bushman

  • Surgery Physician
  • Roanoke, VA
National Provider Identifier
1154959476
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102209332 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Mar 31, 2020
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 0102209332 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

7737 Old Mill Rd
Roanoke, VA 24018-6714
Phone (540) 793-2011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003547 VA Practitioner - General Surgery 1355764788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1375 W Ridge Rd
Wytheville, VA 24382-5011
Phone (276) 228-8686

2900 Lamb Cir
Christiansburg, VA 24073-6341

2900 Lamb Cir
Christiansburg, VA 24073-6344

2900 Lamb CR
Suite 7 700B
Christiansburg, VA 24073-6344
Phone (540) 731-7450

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102209332VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Aug 25, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 25, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 25, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 25, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 25, 2025 Accepting new patients
Carilion Medical Center CurrentSince Aug 25, 2025 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

901 Plantation Rd
Ste 2
Blacksburg, VA 24060
Phone (540) 557-5585

2900 Lamb Cir
Ste 302
Christiansburg, VA 24073
Phone (540) 731-7600

2901 Lamb Cir
Christiansburg, VA 24073
Phone (540) 639-5888

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

101 Elm Ave SE
Roanoke, VA 24013
Phone (540) 985-8000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1150 Holston Rd
Wytheville, VA 24382
Phone (276) 228-4860

1375 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-8686

Interoperability endpoints

  • Direct secure messaging: cbushman116192@direct.carilionclinic.org

Organizations & group practices 7

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 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1154959476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 OLD MILL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186714",
            "telephone_number": "540-793-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102209332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.