JOHN PHILLIP BUSHKAR M.D. NPI 1326049222

NPI Information

NPI: 1326049222
Provider Name: JOHN PHILLIP BUSHKAR, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
127 MCCLANAHAN ST SW
SUITE 300
ROANOKE, VA
ZIP 24014
Phone: (540) 982-8204
Get Directions

John Phillip Bushkar, M.D. is a cardiovascular disease internal medicine in Roanoke, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. John Phillip Bushkar, M.D. NPI is 1326049222. 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:

127 MCCLANAHAN ST SW
SUITE 300
ROANOKE, VA
ZIP 24014-728
Phone: (540) 982-8204
Fax: (540) 224-1059

The NPI 1326049222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 8/11/2011.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101017672	VIRGINIA	Yes

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
1	060063554	MEDICARE PIN	VIRGINIA
2	B07833	MEDICARE UPIN	VIRGINIA
3	5848911	MEDICAID	VIRGINIA
4	060000984	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
5	CI6105	OTHER	VIRGINIA	RR MEDICARE GROUP
6	5836018	MEDICAID	VIRGINIA
7	000670C19	MEDICARE PIN	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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