Active NPI
Jeffrey David Bushnell, D.O.
- Emergency Medicine Physician
- Aurora, CO
National Provider Identifier
1932182144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 43876
- Practice address
- 24300 E Smoky Hill Rd
Aurora, CO 80016-1387 - Phone
- (303) 330-0410
- Fax
- (303) 330-0732
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43876 | CO | Primary |
Addresses
Primary practice location
24300 E Smoky Hill Rd
Aurora, CO 80016-1387
Mailing address
1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Phone (303) 330-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79630090 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 43876 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- jeffrey.bushnell.2@9821.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1932182144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SHEA CENTER DR STE 301",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292277",
"telephone_number": "303-330-0410",
"fax_number": "303-330-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24300 E SMOKY HILL RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800161387",
"telephone_number": "303-330-0410",
"fax_number": "303-330-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHNELL",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "43876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79630090",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.