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NPI Code Detail

MEDICARE: DR. JOCELYN L. BUSH M.D.

MEDICARE: DR. JOCELYN L. BUSH 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
1207LP2900XPain Medicine (Anesthesiology) Physician036-112884IL
2207LP2900XPain Medicine (Anesthesiology) Physician01066384AIN
3208VP0014XInterventional Pain Medicine Physician01066384AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2268960EOTHERINMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447356704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOCELYN L. BUSH M.D.
Provider Business Mailing Address
First Line : 8805 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2760
Country : US
Telephone Number : 317-706-7246
Fax Number : 317-706-3419
Provider Business Practice Location Address
First Line : 8805 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2760
Country : US
Telephone Number : 317-706-7246
Fax Number : 317-706-3419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 01/25/2023

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