Organization Active NPI

Bush Medical, LLC

  • Family Medicine Physician
  • Noblesville, IN
National Provider Identifier
1245164268
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUSH MEDICAL, LLC
Practice address
5520 Pebble Village LN Ste 100
Noblesville, IN 46062-7423
Phone
(317) 376-8721
Fax
(866) 310-3611
NPI assigned
Jun 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Monica E Bush, PANPI 1770994857
Title
Manager
Phone
(317) 376-8721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5520 Pebble Village LN Ste 100
Noblesville, IN 46062-7423

Mailing address

5520 Pebble Village LN Ste 100
Noblesville, IN 46062-7423
Phone (317) 376-8721

National Provider Directory

National Provider Directory

Locations

5520 Pebble Village Ln
#100
Westfield, IN 46062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1245164268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PEBBLE VILLAGE LN STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627423",
            "telephone_number": "317-376-8721",
            "fax_number": "866-310-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PEBBLE VILLAGE LN STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627423",
            "telephone_number": "317-376-8721",
            "fax_number": "866-310-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-376-8721",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.