Active NPI
Mary D Bush, MD,PC
- Obstetrics Physician
- Indianapolis, IN
National Provider Identifier
1962740621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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 DirectoryNPI 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.