Active NPI
George Wayne Bush, M.D.
- Surgery Physician
- Bowling Green, KY
National Provider Identifier
1174596308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33929
- Practice address
- 1325 Andrea St
Suite 209
Bowling Green, KY 42104-5852 - Phone
- (270) 842-1660
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33929 | KY | Primary |
Addresses
Primary practice location
1325 Andrea St
Suite 209
Bowling Green, KY 42104-5852
Mailing address
1325 Andrea St
Bowling Green, KY 42104-5854
Phone (270) 842-1660
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L Campbell MD PSC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Bowling Green, KY
- NPI 1376702837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1174596308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045854",
"telephone_number": "270-842-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"address_2": "SUITE 209",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045852",
"telephone_number": "270-842-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "GEORGE",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "33929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.