Organization Active NPI

Mary D Bush, MD,PC

  • Obstetrics Physician
  • Indianapolis, IN
National Provider Identifier
1962740621
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
MARY D BUSH, MD,PC
Practice address
2160 W 86TH St
Suite 202
Indianapolis, IN 46260-1907
Phone
(317) 704-1084
Fax
(317) 704-1087
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Mary Bush, MD
Title
President
Phone
(317) 704-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

2160 W 86TH St
Suite 202
Indianapolis, IN 46260-1907

Mailing address

2160 W 86TH St
Suite 202
Indianapolis, IN 46260-1907
Phone (317) 704-1084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1962740621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W 86TH ST",
            "address_2": "SUITE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601907",
            "telephone_number": "317-704-1084",
            "fax_number": "317-704-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W 86TH ST",
            "address_2": "SUITE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601907",
            "telephone_number": "317-704-1084",
            "fax_number": "317-704-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY D BUSH, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-704-1084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.