Bush, Bryan

Bush, Bryan is an individual health care provider with primary practice located at 1500 Se Magnolia Ext Ste 203 , Ocala FL 34471-4461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bush, Bryan can be contacted via phone (352) 629-1378.

Contact Information

Primary practice address
1500 Se Magnolia Ext Ste 203 Ocala FL 34471-4461
Phone: (352) 629-1378
Fax: (352) 629-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD454660 Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME117209 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 26325 West Virginia

Profile Details

NPI number 1730339599
LBN Legal business name Bush, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Jan 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730339599 NPPES
North Carolina MEDICAID 5921751
North Carolina Other 174GK
North Carolina Other 62349

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