Individual provider Active NPI

Trevor Wright Bush, MD

  • Family Medicine Physician
  • Kimball, NE
National Provider Identifier
1942380431
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24769 Issued in NE
Practice address
255 W 4TH St
Kimball, NE 69145-1706
Phone
(308) 235-1951
NPI assigned
Oct 17, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7915A WY
Family Medicine Physician 207Q00000X 2119 CO
Family Medicine Physician 207Q00000X 24769 NE Primary

Addresses

Primary practice location

255 W 4TH St
Kimball, NE 69145-1706

Mailing address

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000418 NE Practitioner - Family Practice 1658564463 Reassigns benefits to 2 organizations
I20220228001980 WY Practitioner - HospitalistPractitioner - Family Practice 1658564463 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimball County HospitalGroup PAC ID 5799751004, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2119COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Sep 18, 2022 Accepting new patients
Kimball County Hospital CurrentSince Dec 29, 2025 Accepting new patients
Poudre Valley Health Care, Inc CurrentSince Jun 4, 2015 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Kimball County Hospital CurrentSince Oct 25, 2022 Accepting new patients
Memorial Hospital of Converse County CurrentSince Feb 1, 2022 Accepting new patients
Summit Hospitalist Group LLC CurrentSince May 1, 2022 Accepting new patients
Ivinson Memorial Hospital CurrentSince Sep 18, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 7, 2017 Accepting new patients
Kimball County Hospital CurrentSince Oct 25, 2022 Accepting new patients
Platte Valley Healthcare Project CurrentSince May 8, 2024 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Poudre Valley Health Care Inc CurrentSince Jun 4, 2015 Accepting new patients
Cheyenne Cardiovascular Consultants, LLC Past Accepting new patients
Kimball County Manor Past Accepting new patients
Ivinson Memorial Hospital Past Accepting new patients
Platte Valley Clinic Inc. Past Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients
Poudre Valley Health Care,Inc PastSince Jun 4, 2015 Accepting new patients

Locations

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

117 E 4th St
Pine Bluffs, WY 82082
Phone (307) 245-3666

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18841/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kimball Health ServicesKimball, NE, CCN 281305 Hospital W-2 Managing Employee
Operational/Managerial Control
Sep 20, 2023
Sep 20, 2023
Kimball Health ServicesKimball, NE, CCN 28Z305 Hospital W-2 Managing Employee
Operational/Managerial Control
Sep 20, 2023
Sep 20, 2023
Kimball Health Services ClinicKimball, NE, CCN 283437 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Sep 20, 2023
Sep 20, 2023
Pine Bluffs KHS Health ClinicPine Bluffs, WY, CCN 533990 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Sep 20, 2023
Sep 20, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1942380431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 4TH ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451706",
            "telephone_number": "308-235-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 4TH ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451706",
            "telephone_number": "308-235-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "TREVOR",
        "middle_name": "WRIGHT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "7915A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "2119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, NE

Sources for this page

Verify at the official NPI Registry.