Individual provider Active NPI

Eric J Bush, MD

  • Internal Medicine Physician
  • GT Barrington, MA
National Provider Identifier
1801987151
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79735 Issued in MA
Practice address
780 Main St
Ste 1
GT Barrington, MA 01230-2180
Phone
(413) 528-2418
Fax
(413) 528-2907
NPI assigned
Sep 28, 2006
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79735 MA Primary

Addresses

Primary practice location

780 Main St
Ste 1
GT Barrington, MA 01230-2180

Mailing address

780 Main St
Ste 1
GT Barrington, MA 01230-2180
Phone (413) 528-2418

Other identifiers 14

IdentifierTypeStateIssuer
0000020987OtherMABOSTON MEDICAL CENTER HEALTH NET
3149625MedicaidMA
0005007349OtherAETNA
079735OtherMATUFTS HEALTH PLAN
10025271OtherNYCAPITAL DISTRICT PHYSICIANS HEALTH PLAN
3310803OtherCIGNA
0113741OtherGROUP HEALTH INCORPORATED
23827OtherMAHEALTH NEW ENGLAND
BUJ16521OtherMABLUE CROSS BLUE SHIELD
110228080OtherPALMETTO GBA RAILROAD MEDICARE
3149625OtherMAMEDICAID
68690OtherMAHARVARD PILGRIM HEALTH CARE
079735OtherCTCONNECTICARE
11982OtherNYMVP HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080415000240 MA Practitioner - Internal Medicine 3971495482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

475 Main St
Great Barrington, MA 01230-1822
Phone (413) 854-9900

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-8290

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Jan 4, 2020 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Hospital Current Accepting new patients
Fairview Hospital CurrentSince Jan 4, 2020 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients

Locations

780 Main St
#A
Great Barrington, MA 01230

27 Lewis Ave
Ste 101
Gt Barrington, MA 01230
Phone (413) 528-3376

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

475 Main St
Gt Barrington, MA 01230
Phone (413) 644-6499

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: eric.bush@emma.directbygreenway.com
  • Direct secure messaging: ericbush@fvh.medalliesdirect.net

Organizations & group practices 5

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 8

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1801987151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "STE 1",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012302180",
            "telephone_number": "413-528-2418",
            "fax_number": "413-528-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "STE 1",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012302180",
            "telephone_number": "413-528-2418",
            "fax_number": "413-528-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER HEALTH NET",
            "identifier": "0000020987",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149625",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005007349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "079735",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYSICIANS HEALTH PLAN",
            "identifier": "10025271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3310803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0113741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "23827",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BUJ16521",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "110228080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "3149625",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "68690",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "079735",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "11982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in GT Barrington, MA

Sources for this page

Verify at the official NPI Registry.