Individual provider Active NPI

Bryan Bush, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
National Provider Identifier
1730339599
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME117209 Issued in FL
Practice address
1500 SE Magnolia Ext Ste 203
Ocala, FL 34471-4461
Phone
(352) 629-1378
Fax
(352) 629-1406
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD454660 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME117209 FL Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 26325 WV

Addresses

Primary practice location

1500 SE Magnolia Ext Ste 203
Ocala, FL 34471-4461

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

Other identifiers 3

IdentifierTypeStateIssuer
5921751MedicaidNC
174GKOtherNCBCBC
62349OtherNYALBANY MEDICAL CENTER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRYAN.BUSH@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000235 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4789836032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

700 W Oak St
Kissimmee, FL 34741-4924
Phone (407) 846-2266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117209FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD454660PAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Mar 15, 2018 Accepting new patients
Ocala Health Surgical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 18, 2019 Accepting new patients

Locations

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

1511 SW 1st Ave
Ocala, FL 34471
Phone (352) 629-1378

1500 SE Magnolia Ext
Ste 203
Ocala, FL 34471
Phone (352) 351-1883

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bryan.bush@hca5.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730339599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171",
            "fax_number": "352-690-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT STE 203",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714461",
            "telephone_number": "352-629-1378",
            "fax_number": "352-629-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD454660",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME117209",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "26325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921751",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "174GK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBANY MEDICAL CENTER",
            "identifier": "62349",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRYAN.BUSH@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1500 SE Magnolia Ext Ste 203",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344714461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.