Active NPI
Troy Jay Bushman, D.O.
- Physical Medicine & Rehabilitation Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- O-1521
- Practice address
- 3200 Channing Way Ste 306
Idaho Falls, ID 83404-7546 - Phone
- (208) 535-4400
- Fax
- (208) 535-4404
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | O-1521 | ID | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 007103 | AZ |
Addresses
Primary practice location
3200 Channing Way Ste 306
Idaho Falls, ID 83404-7546
Mailing address
PO Box 741716
Atlanta, GA 30374-1716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 227-2570
3200 Channing Way
Suite 303
Idaho Falls, ID 83404-7546
Phone (208) 535-4400
Hospital & facility affiliations
- Eastern Idaho Regional Medical Center
- Eastern Idaho Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.06 of 100
- Quality
- 76.12
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1521 | ID | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eirmc Hospitalist Services LLC | Current | Accepting new patients | |
| Idaho Physician Services Inc. | Current | Accepting new patients | |
| Arizona Health Services PLLC | Past | Accepting new patients | |
| Jonathan S. Hott, M.D., P.L.C. | Past | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
3200 Channing Way
Ste 306
Idaho Falls, ID 83404
Phone (208) 535-4400
3200 Channing Way
Ste 303
Idaho Falls, ID 83404
Phone (208) 535-4400
2302 E Terry St
Pocatello, ID 83201
Phone (208) 235-5910
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- troy.bushman@hca3.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Idaho Falls, ID
- NPI 1144502071
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1902841893
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1386267524
-
- Neurological Surgery Physician
- Scottsdale, AZ
- NPI 1063451482
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- Rehabilitation Hospital Unit
- Idaho Falls, ID
- NPI 1952355935
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1194068437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741716",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE 306",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-535-4400",
"fax_number": "208-535-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHMAN",
"first_name": "TROY",
"middle_name": "JAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "ID",
"license": "O-1521",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "007103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.