Individual provider Active NPI

William Brian Bush, M.D.

  • Rheumatology Physician
  • Knoxville, TN
National Provider Identifier
1740677426
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
55390 Issued in TN
Practice address
4707 Papermill Dr. Suite 200
Knoxville, TN 37909-1907
Phone
(865) 602-7983
Fax
(865) 602-7984
NPI assigned
Apr 21, 2015
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Rheumatology Physician 207RR0500X 55390 TN Primary

Addresses

Primary practice location

4707 Papermill Dr. Suite 200
Knoxville, TN 37909-1907

Mailing address

4707 Papermill Dr. Suite 200
Knoxville, TN 37909-1907
Phone (865) 602-7983

Other identifiers 1

IdentifierTypeStateIssuer
Q060566MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200701000507 TN Practitioner - Rheumatology 6204157217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Consultants, PLLCGroup PAC ID 1951478502, 7 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

4707 Papermill Dr
Suite 200
Knoxville, TN 37909-1907
Phone (865) 602-7983

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Consultants, PLLC Rheumatology CurrentSince Aug 1, 2020 Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Aug 1, 2020 Accepting new patients

Locations

4707 Papermill Dr
Ste 200
Knoxville, TN 37909
Phone (865) 602-7983

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72064

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1740677426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 PAPERMILL DR. SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091907",
            "telephone_number": "865-602-7983",
            "fax_number": "865-602-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 PAPERMILL DR. SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091907",
            "telephone_number": "865-602-7983",
            "fax_number": "865-602-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "55390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060566",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.