Active NPI
Bruce Edward Hust, PHD
- Psychologist
- Evansville, IN
National Provider Identifier
1457383440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040619A
- Practice address
- 2015 Maxwell Ave
Evansville, IN 47711 - Phone
- (812) 422-7974
- Fax
- (812) 422-8163
- NPI assigned
- Jul 7, 2006
- Last updated
- May 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040619A | IN | Primary |
Addresses
Primary practice location
2015 Maxwell Ave
Evansville, IN 47711
Mailing address
2015 Maxwell Ave
Evansville, IN 47711
Phone (812) 422-7974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100243050B | Medicaid | IN |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040619A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1457383440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 MAXWELL AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47711",
"telephone_number": "812-422-7974",
"fax_number": "812-422-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 MAXWELL AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47711",
"telephone_number": "812-422-7974",
"fax_number": "812-422-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUST",
"first_name": "BRUCE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040619A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100243050B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.