Active NPI
William Bradley Bush, M.D.
- Specialist
- Harrisburg, PA
National Provider Identifier
1982636841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD013394E
- Practice address
- 5100 Lancaster St
Harrisburg, PA 17111-3564 - Phone
- (717) 561-0200
- Fax
- (717) 561-8388
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD013394E | PA | Primary |
Addresses
Primary practice location
5100 Lancaster St
Harrisburg, PA 17111-3564
Mailing address
5100 Lancaster St
Harrisburg, PA 17111-3564
Phone (717) 561-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110208000892 | PA | Practitioner - Internal Medicine | 0941480941 | Practice locations: Harrisburg, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013394E | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982636841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 LANCASTER ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113564",
"telephone_number": "717-561-0200",
"fax_number": "717-561-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 LANCASTER ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113564",
"telephone_number": "717-561-0200",
"fax_number": "717-561-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "WILLIAM",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD013394E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.