Individual provider Active NPI

David Clarence Bish, DO

  • General Practice Physician
  • Eufaula, AL
National Provider Identifier
1912093246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO-894 Issued in AL
Practice address
820 W Washington St
Eufaula, AL 36027-1855
Phone
(334) 688-7276
Fax
(334) 687-0028
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DO-894 AL Primary

Addresses

Primary practice location

820 W Washington St
Eufaula, AL 36027-1855

Mailing address

820 W Washington St
Eufaula, AL 36027-1855
Phone (334) 688-7276

Other identifiers 2

IdentifierTypeStateIssuer
510-01710OtherALBCBS
P00230660OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-894ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Internal Medicine PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912093246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271855",
            "telephone_number": "334-688-7276",
            "fax_number": "334-687-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271855",
            "telephone_number": "334-688-7276",
            "fax_number": "334-687-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISH",
        "first_name": "DAVID",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "DO-894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-01710",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.