Active NPI
Bradley K Busey II, FNPC
- Family Nurse Practitioner
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201707058NP-PP
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201707058NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Medical Centers LLC | Current | Accepting new patients | |
| Oregon Medical Centers LLC | Current | Accepting new patients | |
| Saint Moscati Community Health Care | Current | 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
- bradley.busey@532866887647236.direct.elationemr.com
- 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.
-
- Primary Care Clinic/Center
- Salem, OR
- NPI 1326589771
-
- Chiropractor
- Aloha, OR
- NPI 1225650625
-
- Chiropractor
- Salem, OR
- NPI 1922585314
-
- Chiropractor
- Salem, OR
- NPI 1053464750
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.