MEDICARE: DR. ROBERT ALFRED BUSH JR. M.D.

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	208600000X	Surgery Physician	A23336	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A23336	OTHER	CA	BLUE CROSS OF CALIFORNIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00A233360	OTHER	CA	BLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number	:	1295805091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALFRED BUSH JR. M.D.

Provider Business Mailing Address
First Line	:	2261 MARKET ST # 158
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1600
Country	:	US
Telephone Number	:	415-621-8175
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 BEAVER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1514
Country	:	US
Telephone Number	:	415-621-8175
Fax Number	:	415-252-8131

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	10/18/2017

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Directions to “ DR. ROBERT ALFRED BUSH JR. M.D.” Practice Location

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