Individual provider Active NPI

Bradley K Busey II, FNPC

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1720537814
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201707058NP-PP Issued in OR
Practice address
1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone
(971) 273-0679
NPI assigned
Sep 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 201707058NP-PP OR
Family Nurse Practitioner 363LF0000X 201707058NP-PP OR Primary

Addresses

Primary practice location

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040

Mailing address

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone (971) 273-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129002031 OR Practitioner - Nurse Practitioner 4284991274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Moscati Community Health CareGroup PAC ID 8426312497, 5 clinicians

Practice addresses (Care Compare)

1880 Lancaster Dr NE
Suite 104
Salem, OR 97305-1040
Phone (971) 273-0679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201707058NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Medical Centers LLC CurrentSince Jun 8, 2019 Accepting new patients
Oregon Medical Centers LLC CurrentSince Jun 8, 2019 Accepting new patients
Saint Moscati Community Health Care CurrentSince May 9, 2022 Accepting new patients
Firstchoice Chiropractic and Rehabilitation, PC Past Accepting new patients

Locations

17575 SW Tualatin Valley Hwy
#H
Aloha, OR 97003
Phone (503) 642-2845

2515 Liberty St NE
Salem, OR 97301
Phone (503) 390-1552

1880 Lancaster Dr NE
Ste 104
Salem, OR 97305
Phone (503) 587-9949

Interoperability endpoints

  • Direct secure messaging: bradley.busey@532866887647236.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/17738/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1720537814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSEY",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "name_suffix": "II",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201707058NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201707058NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.