Individual provider Active NPI

Benjamin Terrell Rush, D.O.

  • Surgery Physician
  • Montgomery, AL
National Provider Identifier
1790806578
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1495 Issued in AL
Practice address
2055 E South Blvd Ste 503
Montgomery, AL 36116-2004
Phone
(334) 284-6500
Fax
(334) 284-6202
NPI assigned
Apr 2, 2007
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1495 AL Primary
Vascular Surgery Physician 2086S0129X DO.1495 AL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 19038 MS

Addresses

Primary practice location

2055 E South Blvd Ste 503
Montgomery, AL 36116-2004

Mailing address

2055 E South Blvd Ste 503
Montgomery, AL 36116-2004
Phone (334) 284-6500

Other practice location 1

1023 Medical Center Pkwy Ste 407
Selma, AL 36701-6714
Phone (334) 284-6500

Other practice location 2

1501 Forest Ave
Montgomery, AL 36106-1539
Phone (334) 593-7434

Other practice location 3

277 Huntress St Ste 201
Wetumpka, AL 36092-3342
Phone (334) 284-6500

Other identifiers 1

IdentifierTypeStateIssuer
08175829MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151120000102 AL Practitioner - General SurgeryPractitioner - Vascular Surgery 7810089620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
West Virginia School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Vascular Surgery, P.C.Group PAC ID 0840210530, 7 clinicians

Practice addresses (Care Compare)

2055 E S Blvd
Suite 503
Montgomery, AL 36116-2004
Phone (334) 284-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.33 of 100Reported as group
Quality
39.07
Improvement activities
40
Cost
73.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)63
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4674AZMDGeneral Practice Dentistry
1495ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Vascular Surgery, P.C. CurrentSince Jan 1, 2017 Accepting new patients
Medvision, L.L.C. CurrentSince Mar 1, 2020 Accepting new patients

Locations

2055 E South Blvd
Ste 503
Montgomery, AL 36116
Phone (205) 284-6500

2055 E South Blvd
Ste 908
Montgomery, AL 36116
Phone (334) 284-6500

1023 Medical Center Pkwy
Ste 407
Selma, AL 36701
Phone (334) 281-4140

277 Huntress St
Ste 201
Wetumpka, AL 36092
Phone (334) 284-6500

Organizations & group practices 3

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 4

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1790806578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Medical Center Pkwy Ste 407",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367016714",
            "country_code": "US",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061539",
            "country_code": "US",
            "telephone_number": "334-593-7434",
            "fax_number": "334-593-7060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Huntress St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wetumpka",
            "state": "AL",
            "postal_code": "360923342",
            "country_code": "US",
            "telephone_number": "334-284-6500",
            "fax_number": "334-284-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "BENJAMIN",
        "middle_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "1495",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "DO.1495",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "19038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08175829",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.