Individual provider Active NPI

Julian G Busby, M.D.

  • Gynecology Physician
  • High Point, NC
National Provider Identifier
1417003591
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
20528 Issued in NC
Practice address
712 N Elm St
Carolina Womancare P.a.
High Point, NC 27262-3918
Phone
(336) 889-5422
Fax
(336) 889-3202
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 20528 NC Primary

Addresses

Primary practice location

712 N Elm St
Carolina Womancare P.a.
High Point, NC 27262-3918

Mailing address

712 N Elm St
Carolina Womancare P.a.
High Point, NC 27262-3918
Phone (336) 889-5422

Other identifiers 2

IdentifierTypeStateIssuer
20360OtherNCBCBS
8920360MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10805NCMDMental Health Counselor
20528NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinewest OBGYN Inc Past Accepting new patients
Carolina Birth Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1417003591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N ELM ST",
            "address_2": "CAROLINA WOMANCARE P.A.",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623918",
            "telephone_number": "336-889-5422",
            "fax_number": "336-889-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N ELM ST",
            "address_2": "CAROLINA WOMANCARE P.A.",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623918",
            "telephone_number": "336-889-5422",
            "fax_number": "336-889-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "JULIAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "20528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.