MR. MARC ALLEN BUSH PA NPI 1043391154

NPI Information

  • NPI: 1043391154
  • Provider Name: MR. MARC ALLEN BUSH, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 100 MICHIGAN ST. NW
    SUITE A721
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 974-4493

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NPI Details

MR. Marc Allen Bush, PA is a medical physician assistant in Grand Rapids, MI. MR. Marc Allen Bush, PA NPI is 1043391154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 MICHIGAN ST. NW
SUITE A721
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 974-4493

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601001779MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P67038MEDICARE UPINMICHIGAN
2ON38550017MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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