Robert Lee Bushman, D.P.M.,R.N.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000373 Issued in MO

Practice address

10016 Office Center Ave
Suite 100
Saint Louis, MO 63128-1468

Phone

(314) 720-0855

Fax

(314) 735-4335

NPI assigned

Apr 7, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lake Mi Mobile Doctors, P.C.

  dba Mobile Doctors of St. Louis

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1992057566

  Podiatrist

  NPD (past)
• Mobile Ultrasound LLC

  dba Mobile Ultrasound of Kansas City

  • Vascular Specialist/Technologist Cardiovascular
  • Kansas City, MO
  • NPI 1407113517
  NPD (past)
• Lake Mi Mobile Doctors, P.C.

  dba Mobile Doctors of Chicago

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1437106465
  NPD (past)

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1760748420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 OFFICE CENTER AVE",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281468",
            "telephone_number": "314-720-0855",
            "fax_number": "314-735-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 OFFICE CENTER AVE",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281468",
            "telephone_number": "314-720-0855",
            "fax_number": "314-735-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.,R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-07",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda D. Bush, NP-C
• Cori Anika Bush, RN
• Danielle N Bush, LPC
• Lisa Bush, DENTIST
• Megan Bush, DNP, APRN, CPNP-PC
• Lindsey Bushmann, D.O.
• Bridget Rose Bushong
• Joseph A Bushong, PA
• Kylie Michelle Bushroe, MD
• Destiny Bushway

• Podiatrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.