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1295778157

NPI Code Detail

MEDICARE: DR. BENJAMIN A BUSCH DO

MEDICARE: DR. BENJAMIN A BUSCH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	49644	CO
2	207RP1001X	Pulmonary Disease Physician	49644	CO
3	207SG0201X	Clinical Genetics (M.D.) Physician	49644	CO
4	207K00000X	Allergy & Immunology Physician	49644	CO
5	207RC0000X	Cardiovascular Disease Physician	49644	CO
6	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	49644	CO
7	207PS0010X	Sports Medicine (Emergency Medicine) Physician	49644	CO
8	202D00000X	Integrative Medicine Physician	49644	CO
9	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	49644	CO
10	208200000X	Plastic Surgery Physician	49644	CO
11	2083T0002X	Medical Toxicology (Preventive Medicine) Physician	49644	CO
12	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician	49644	CO
13	2084S0010X	Sports Medicine (Psychiatry & Neurology) Physician	49644	CO
14	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	49644	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	021891	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295778157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN A BUSCH DO

Provider Business Mailing Address
First Line	:	12001 W 63RD PL STE 201
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-4034
Country	:	US
Telephone Number	:	303-565-8483
Fax Number	:

Provider Business Practice Location Address
First Line	:	12001 W 63RD PL STE 201
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-4034
Country	:	US
Telephone Number	:	303-565-8483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	09/30/2024

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Directions to “ DR. BENJAMIN A BUSCH DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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