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
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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 8

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

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 Inc 276 clinicians
Fairview Hospital 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

  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Hospicecare in the Berkshires Hospice, Pittsfield, MA, CCN 221531
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Hospital CurrentSince Jan 4, 2020 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jan 4, 2020 Accepting new patients
Fairview Hospital Current Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Hillcrest Family Health Center Internal Medicine Past Accepting new patients

Locations

780 Main St
#A
Great Barrington, MA 01230

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

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

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

Interoperability endpoints

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2014.

{
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "110228080",
            "state": null
        },
        {
            "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": "MEDICAID",
            "identifier": "3149625",
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYSICIANS HEALTH PLAN",
            "identifier": "10025271",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "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": "BLUE CROSS BLUE SHIELD",
            "identifier": "BUJ16521",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "079735",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005007349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "23827",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in GT Barrington, MA

Sources for this page

Verify at the official NPI Registry.