William G. Bush M.D., P.L.L.C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

11010 Issued in MS

Legal business name

WILLIAM G. BUSH M.D., P.L.L.C

Practice address

1020 River Oaks Dr
Suite 410
Jackson, MS 39232-9500

Phone

(601) 664-0111

Fax

(601) 932-1308

NPI assigned

Feb 8, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chrissy A Armstrong

Title

Office Manager

Phone

(601) 664-0111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Garner Bush, M.D.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1023115565
  Medicare reassignment NPD

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821276106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "SUITE 410",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-664-0111",
            "fax_number": "601-932-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR",
            "address_2": "SUITE 410",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329500",
            "telephone_number": "601-664-0111",
            "fax_number": "601-932-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. BUSH M.D., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-664-0111"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "11010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121297",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS STATE MEDICAL LICENSE",
            "identifier": "11010",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Madison Wilkins
• Kelly J. Wilkinson, M.D.
• Michael M Wilkinson, ATC
• Rachel Wilkinson, MD
• William Ashley Hood D.O.
• William McCallister
• William S Cook Jr M D P a
• William T Williams Jr MD
• Melinda Williams-Boykin
• Shawuanna Williams-Walker, NURSE PRACTITIONER

• Obstetrics & Gynecology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.