David Roy Bush, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

778319 Issued in TX

Practice address

20121 W Lake Houston Pkwy
#1600
Humble, TX 77346-3546

Phone

(281) 852-8724

Fax

(281) 852-9550

NPI assigned

May 24, 2006

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aj Marshall Medical, PLLC

  dba Quality of Life Medical Center

  • Multi-Specialty Clinic/Center
  • Magnolia, TX
  • NPI 1669181707
  Medicare reassignment NPD
• The Oaks Health Care PA

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1578675526
  Authorized official Same address or phone
• Aj Marshall, LLC

  dba Quality of Life Chiropractic

  • Clinic/Center
  • Magnolia, TX
  • NPI 1851674105
  NPD
• Medical Fitness Solutions, PA

  • Nurse Practitioner
  • Lumberton, TX
  • NPI 1700134392
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1881649945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 W LAKE HOUSTON PKWY",
            "address_2": "#1600",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463546",
            "telephone_number": "281-852-8724",
            "fax_number": "281-852-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 W LAKE HOUSTON PKWY",
            "address_2": "#1600",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463546",
            "telephone_number": "281-852-8724",
            "fax_number": "281-852-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "DAVID",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "778319",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "88710X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0095DQ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00419356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Burnett, PMHNP, DNP
• Brandy Michelle Burnett, DDS
• Burns Counseling Group, PLLC
• Alan Michael Burns, LPC
• Lauren N Burrell, DC
• Nicholas James Bustamento, ATP
• Faith Butler, LVN
• Tracie Butler, M.D.
• Aman Dua Butt, M.A.
• Lauren Allison Buynak

• Family Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.