Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE DAVID BUSH, M.D.
Active Sole ProprietorDR. SHANE DAVID BUSH, M.D. is a Family Medicine healthcare provider located in PORTAGE, Indiana. NPI 1316258874 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORTAGE, IN
Registration Details
- NPI Number
- 1316258874
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2010 (16.116345608646 yrs)
- Last Updated
- Jun 2, 2015
- License
-
01071914A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3630 WILLOWCREEK RDPORTAGE, IN, 463685075Browse IN providers · Browse ZIP 46368
- Phone
- 2193643700
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORTAGE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. LOUIS MICELI | DO | 1679578272 |
| DR. INDERJIT K KAPOOR | M.D. | 1174529481 |
| LEONARD WALTER OSTROWSKI JR. | M.D. | 1881691947 |
| LUIS A BARAJAS | MD | 1548260680 |
| DONALD SQUIRES DUNEVANT | MD | 1821059148 |
| DR. CANDICE MICHELLE YU-FLEMING | MD | 1780645093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.