Gerald R. Bush, MD
Individual provider Active NPI Internal Medicine Physician · Surprise, AZ
NPI 1811087653 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1811087653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 32553 (AZ)
- Practice address
- 14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878 - Phone
- (623) 815-2900
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arizona College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Greater Phoenix Collaborative Care PC
Practice addresses (Care Compare)
6501 E Greenway Pkwy
Scottsdale, AZ 85254-2067
Phone (702) 480-2550
Hospital & facility affiliations
- Assisted Home Health
- Honor Health John C. Lincoln Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080825000578 | AZ | Practitioner - Internal Medicine |
3779561428 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32553 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4C Medical Group PLC | Internal Medicine | Current |
Accepting new patients |
| 4C Medical Group PLC | Current |
Accepting new patients | |
| Surprise Health Center, PLLC | Internal Medicine | Current |
Accepting new patients |
| Greater Phoenix Collaborative Care PC | Current |
Accepting new patients | |
| American Physicians, Inc | Internal Medicine | Current |
Accepting new patients |
| Greater Phoenix Collaborative Care PC | Current |
Accepting new patients | |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current |
Accepting new patients |
| American Physicians, Inc. | Hospitalist | Current |
Accepting new patients |
| Gregg Smith D.O., P.C. | Hospitalist | Past | Accepting new patients |
| Medical Experts of Texas, P.a. | Hospitalist | Past |
Accepting new patients |
| Prodigee Inpatient Physicians Group, P.L.L.C. | Hospitalist | Past | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426
21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778
433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
926 E McDowell Rd
Ste 202
Phoenix, AZ 85006
Phone (602) 609-4525
6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400
6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
14973 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 815-2900
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966
Interoperability endpoints
- https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
- gbush113406@westdirect.optum.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32553 | AZ | Yes |
Addresses
Primary practice location
14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
6501 E Greenway Pkwy Ste 160
Scottsdale, AZ 85254-2069
Phone (480) 948-9903
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0763540 | Other | AZ | BCBS |
| 856859 | Medicaid | AZ |
Other providers in Surprise, AZ
- Gabriela Cristina Burlacu
- Burnes West Home
- Courtney Burnett
- Kristen Burnsmith
- Cassandra Lauren Burruel
- Shain Lenae Bussell
- Destiny Butler
- Ryan Shelby Butler
- Emily M Butterworth
- Demia Leshay Butts
All providers in Surprise, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.