Active NPI
Nacera B Bush, DPM
- Podiatrist
- Miami, FL
National Provider Identifier
1962653030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3373
- Practice address
- 1000 Park Centre Blvd Ste 100
Miami, FL 33169 - Phone
- (305) 621-0023
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3373 | FL | Primary |
Addresses
Primary practice location
1000 Park Centre Blvd Ste 100
Miami, FL 33169
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
1640 SW 148th Ter
Pembroke Pines, FL 33027-2355
Phone (954) 479-2260
Other practice location 2
1640 SW 148th Ter
Pembroke Pines, FL 33027-2355
Phone (954) 479-2260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3373 | FL | MD | Podiatrist |
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881024800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1962653030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PARK CENTRE BLVD STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-621-0023"
}
],
"practiceLocations": [
{
"address_1": "1640 SW 148th Ter",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330272355",
"country_code": "US",
"telephone_number": "954-479-2260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1640 SW 148th Ter",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330272355",
"country_code": "US",
"telephone_number": "954-479-2260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "NACERA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.