Individual provider Active NPI

Edward C Bush, M.D.

  • Family Medicine Physician
  • Riverview, MI
National Provider Identifier
1245200146
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
041430 Issued in MI
Practice address
14241 Pennsylvania Rd
Riverview, MI 48193-7510
Phone
(734) 284-6800
Fax
(734) 284-3929
NPI assigned
Jan 24, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 041430 MI Primary

Addresses

Primary practice location

14241 Pennsylvania Rd
Riverview, MI 48193-7510

Mailing address

14241 Pennsylvania Rd
Riverview, MI 48193-7510
Phone (734) 284-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090630000323 MI Practitioner - Family Practice 4587576731 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

14241 Pennsylvania Rd
Riverview, MI 48193-7510
Phone (734) 284-6800

23852 Michigan Ave
Dearborn, MI 48124-1829

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041430MIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ebush58119@direct.hfhs.org
  • Direct secure messaging: edwardbush@ecbmd.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Hospital & facility affiliations 5

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1245200146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 PENNSYLVANIA RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937510",
            "telephone_number": "734-284-6800",
            "fax_number": "734-284-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 PENNSYLVANIA RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937510",
            "telephone_number": "734-284-6800",
            "fax_number": "734-284-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "041430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.