MARK BUSHAW NPI 1841759164

NPI Information

NPI: 1841759164
Provider Name: MARK BUSHAW
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1627 MIDWAY RD
NORFOLK, VA
ZIP 23518
Phone: (701) 741-4241
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Mark Bushaw is a general practice in Norfolk, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mark Bushaw NPI is 1841759164. 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:

1627 MIDWAY RD
NORFOLK, VA
ZIP 23518
Phone: (701) 741-4241

The enumeration date for this NPI number is 3/16/2019 and was last updated on 9/23/2022.

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	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	0101270923	VIRGINIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	208D00000X	General Practice		0101270923	VIRGINIA	Yes

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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