Individual provider Active NPI

George Joseph Buse, MD

  • Diagnostic Radiology Physician
  • Jbsa-Lackland, TX
National Provider Identifier
1992792899
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23857 Issued in NE
Practice address
1100 Wilford Hall Loop
Jbsa-Lackland, TX 78236
Phone
(210) 671-9253
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X A84037 CA
Diagnostic Radiology Physician 2085R0202X 23857 NE Primary

Addresses

Primary practice location

1100 Wilford Hall Loop
Jbsa-Lackland, TX 78236

Mailing address

1100 Wilford Hall Loop
BLDG 4554
Jbsa-Lackland, TX 78236
Phone (210) 671-9253

Other practice location 1

4700 Las Vegas Blvd. Bldg. 1300
Nellis AFB, NV 89191-6601
Phone (702) 653-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84037CAMDAerospace Medicine Physician
23857NEMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1992792899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "address_2": "BLDG 4554",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-671-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-671-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Las Vegas Blvd. Bldg. 1300",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916601",
            "country_code": "US",
            "telephone_number": "702-653-2830",
            "fax_number": "702-653-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSE",
        "first_name": "GEORGE",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "A84037",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Lackland, TX

Sources for this page

Verify at the official NPI Registry.