Organization Active NPI

Darin L Bush, D.O., P.a.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Oakland Park, FL
National Provider Identifier
1265896567
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
OS8691 Issued in FL
Legal business name
DARIN L BUSH, D.O., P.A.
Practice address
3101 N Federal Hwy
Suite 201
Oakland Park, FL 33306-1018
Phone
(954) 816-1301
Fax
(954) 840-8254
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Darin L Bush, D.O,NPI 1023026127
Title
Owner/President
Phone
(954) 816-1301

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
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081N0008X OS8691 FL Primary

Addresses

Primary practice location

3101 N Federal Hwy
Suite 201
Oakland Park, FL 33306-1018

Mailing address

3101 N Federal Hwy
Suite 201
Oakland Park, FL 33306-1018
Phone (954) 816-1301

Other identifiers 1

IdentifierTypeStateIssuer
OS8691OtherFLSTATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160815000231 FL Part B Supplier - Clinic/Group Practice 8325332372 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

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": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1265896567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-816-1301",
            "fax_number": "954-840-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-816-1301",
            "fax_number": "954-840-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIN L BUSH, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-816-1301",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "OS8691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "OS8691",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.