Jeff W Bush, M.D,, Family Practice LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19771 Issued in AL

Legal business name

JEFF W BUSH, M.D,, FAMILY PRACTICE LLC.

Practice address

617 E Broad St
Ste a
Eufaula, AL 36027-1710

Phone

(334) 687-3836

Fax

(334) 687-0725

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff W Bush, M.D.NPI 1114951563

Title

Owner

Phone

(334) 687-3836

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400211

Practitioners 2

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.

• Jeff W Bush, M.D.

  • Family Medicine Physician
  • Eufaula, AL
  • NPI 1114951563
  Medicare reassignment Authorized official
• Joshua Bush, MD

  • Family Medicine Physician
  • Eufaula, AL
  • NPI 1467156489
  NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1295040582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E BROAD ST",
            "address_2": "STE A",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271710",
            "telephone_number": "334-687-3836",
            "fax_number": "334-687-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E BROAD ST",
            "address_2": "STE A",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271710",
            "telephone_number": "334-687-3836",
            "fax_number": "334-687-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF W BUSH, M.D,, FAMILY PRACTICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-687-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-98558",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Hudspeth
• Carla Ikert
• Institutional Pharmacy Solutions LLC (Institutional Pharmacy Services)
• Erica J Jackson
• Jean Senecal MD
• Benjamin Elliott Johnston, DMD
• Moses Marcus Jones, MD
• Karen Lee Jurls
• Katherine Kaelin
• Elizabeth Kennedy

• Family Medicine Physician in Eufaula, AL
• Providers in Eufaula, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.