Active NPI
Craig Patton Bushong, M.D.
- Psychiatry Physician
- Glenwood Springs, CO
National Provider Identifier
1649499757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 51357
- Practice address
- 6916 Highway 82
Glenwood Springs, CO 81601-9435 - Phone
- (970) 945-2583
- Fax
- (970) 928-8852
- NPI assigned
- Apr 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 51357 | CO | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 51357 | CO |
Addresses
Primary practice location
6916 Highway 82
Glenwood Springs, CO 81601-9435
Mailing address
515 28 3/4 Rd
BLDG a
Grand Junction, CO 81501-5016
Phone (970) 683-7107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51357 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayley E. Maislos, MD, PA | Psychiatry | Past | Accepting new patients |
| Colorado West Regional Mental Health, Inc. | Past | Accepting new patients | |
| Colorado West Regional Mental Health Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Grand Junction, CO
- NPI 1649003740
-
- Professional Counselor
- Grand Junction, CO
- NPI 1275214959
-
- Psychiatry Physician
- Houston, TX
- NPI 1114263902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1649499757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 28 3/4 RD",
"address_2": "BLDG A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815015016",
"telephone_number": "970-683-7107",
"fax_number": "970-683-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6916 HIGHWAY 82",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816019435",
"telephone_number": "970-945-2583",
"fax_number": "970-928-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHONG",
"first_name": "CRAIG",
"middle_name": "PATTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "51357",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "51357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.