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1972947026

NPI Code Detail

MEDICARE: DR. JAMES WILLIAM BUSH MD

MEDICARE: DR. JAMES WILLIAM BUSH MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD.37017	AL
2	207ZD0900X	Dermatopathology (Pathology) Physician	MD.37017	AL

General Provider Information

NPI Number	:	1972947026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WILLIAM BUSH MD

Provider Business Mailing Address
First Line	:	3512 OLD MONTGOMERY HWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5706
Country	:	US
Telephone Number	:	205-879-2260
Fax Number	:	205-879-2261

Provider Business Practice Location Address
First Line	:	3512 OLD MONTGOMERY HWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5706
Country	:	US
Telephone Number	:	205-879-2260
Fax Number	:	205-879-2261

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

Provider Enumeration Date	:	04/19/2013
Last Update Date	:	11/01/2018

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Directions to “ DR. JAMES WILLIAM BUSH MD” Practice Location

Language	Start Address	Practice Location

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