Active NPI
Benjamin A Busch, DO
- Sports Medicine (Emergency Medicine) Physician
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 49644
- Practice address
- 12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034 - Phone
- (303) 565-8483
- NPI assigned
- Jun 14, 2006
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 49644 | CO | |
| Pulmonary Disease Physician | 207RP1001X | 49644 | CO | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 49644 | CO | |
| Allergy & Immunology Physician | 207K00000X | 49644 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | 49644 | CO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 49644 | CO | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 49644 | CO | Primary |
| Integrative Medicine Physician | 202D00000X | 49644 | CO | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 49644 | CO | |
| Plastic Surgery Physician | 208200000X | 49644 | CO | |
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | 49644 | CO | |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | 49644 | CO | |
| Sports Medicine (Psychiatry & Neurology) Physician | 2084S0010X | 49644 | CO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 49644 | CO |
Addresses
Primary practice location
12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034
Mailing address
12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034
Phone (303) 565-8483
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021891 | Other | CO | KAISER COMMERCIAL NUMBER |
| 2606406 | Medicaid | OH | |
| 53888031 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49644 | CO | MD | Brain Injury Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Vivewell PLLC | Integrative Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Franklin County, LTD | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| New York Westchester SQ Med Ctr | Past | Accepting new patients | |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Avista Emergency Physicians, P.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Guernsey County, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
12001 W 63rd Pl
Ste 201
Arvada, CO 80004
Phone (303) 565-8483
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
Organizations & group practices 11
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.
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-
- Integrative Medicine Physician
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-
- Emergency Medicine Physician
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- NPI 1366835415
-
- Emergency Medicine Physician
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- NPI 1801879994
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1306421201
-
- Emergency Medicine Physician
- Sterling, CO
- NPI 1558946467
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1588249494
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1538108501
-
- Emergency Medicine Physician
- Cambridge, OH
- NPI 1922047844
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1851340608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1295778157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 W 63RD PL STE 201",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044034",
"telephone_number": "303-565-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 W 63RD PL STE 201",
"city": "ARVADA",
"state": "CO",
"postal_code": "800044034",
"telephone_number": "303-565-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "BENJAMIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "CO",
"license": "49644",
"primary": true
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "2083T0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "2084S0010X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sports Medicine",
"state": "CO",
"license": "49644",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "49644",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "021891",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2606406",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53888031",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.