Todd E Bush, M.D.
Individual provider Active NPI Pediatrics Physician · Overland Park, KS
NPI 1316945835 · NPPES record last updated Jan 10, 2014
Key facts
- NPI
- 1316945835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0426765 (KS)
- Practice address
- 8675 College Boulevard
Suite 100
Overland Park, KS 66210 - Phone
- (913) 345-9400
- Fax
- (913) 345-9408
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0426765 | KS | MD | Pediatrics Physician |
| 103783 | MO | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0426765 | KS | Yes |
| Pediatrics Physician | 208000000X | 103783 | MO |
Addresses
Primary practice location
8675 College Boulevard
Suite 100
Overland Park, KS 66210
Mailing address
8675 College Boulevard
Suite 100
Overland Park, KS 66210
Phone (913) 345-9400
Other providers in Overland Park, KS
- Kathleen Rose Burton
- Stephanie Burwell
- Megan Buschjost
- William Dwight Buser
- Kristian Bush
- Matthew S Buss
- Brock Butel
- Noah Spencer Butenas
- Daija Butler
- Jeremy Butler
All providers in Overland Park, KS · Pediatrics Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.