Gage James Buness, DO

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

125.086678 Issued in IL

Practice address

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099

Phone

(618) 233-7880

NPI assigned

Apr 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: gage.buness.1@9559.direct.athenahealth.com
• Direct secure messaging: gbuness541170@direct-ehr-ssmhc.com

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1881449635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 E CLAREMONT AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533749",
            "telephone_number": "602-448-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ELIZABETH BLVD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691099",
            "telephone_number": "618-233-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNESS",
        "first_name": "GAGE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider",
            "state": "IL",
            "license": "125.086678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Bruhn
• Amy Marie Buck, APN
• Deion Montez Buckels
• Kasandra Lou Buckingham
• Amanda Joy Buffington, DC
• Kevin S. Bunten, MSED, MDIV, LCPC
• Jamie Ann Burch, M.A. CF-SLP
• Amanda Sue Burgesen
• Kimberly Burgess, AGNP-C
• Tiffany Noelle Burke, LCPC, LPC

• Military Health Care Provider in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Military Health Care Provider in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.