Patrick Bushard
Individual provider Active NPI Neurology Physician · Lafayette, CO
NPI 1306998448 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1306998448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- DR-48900 (CO)
- Practice address
- 300 Exempla Cir
Suite 230
Lafayette, CO 80026-3397 - Phone
- (303) 781-4485
- Fax
- (720) 274-0064
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Washington University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
300 Exempla Cir
300 Lafayette Clinic Neurology
Lafayette, CO 80026-2906
Phone (303) 673-1370
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Good Samaritan Medical Center LLC
- Intermountain Health Platte Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000233 | CO | Practitioner - Neurology | 9335334242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008006727 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Medical Center, LLC | Current |
Accepting new patients | |
| Good Samaritan Medical Center, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients |
Locations
300 Exempla Cir
Ste 300
Lafayette, CO 80026
Phone (303) 318-3220
200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110
Interoperability endpoints
- pbushard24234@direct.intermountainhealth.org
- https://api.platform.athenahealth.com/16660/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2008006727 | MO | |
| Vascular Neurology Physician | 2084V0102X | DR-48900 | CO | |
| Neurology Physician | 2084N0400X | DR-48900 | CO | Yes |
Addresses
Primary practice location
300 Exempla Cir
Suite 230
Lafayette, CO 80026-3397
Mailing address
PO Box 17528
Denver, CO 80217-0528
Phone (405) 682-3303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20856865 | Medicaid | CO |
Other names
- Patrick Bushard
Other providers in Lafayette, CO
- Kay Burns
- Sarah Burns
- Tara Burns
- Adam Burrell
- Alexandra Buscaglia
- Nicholas Wayne Butkovich
- Mary Nesbitt Byrne
- Nicole C Cable
- Arianna Racheal Cacek
- Nina M Cachanosky
All providers in Lafayette, CO · Neurology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.