Individual
DR. BRUCE MICAH BUSHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, BLDG MKB, YORK, PA 17403-3676
(717) 851-2521
(717) 851-3535
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2521
(717) 851-3535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029583E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001095653
—
PA
01
—
01703502
CAPITAL BLUE CROSS-YH
PA
01
—
080143004
RAILROAD MEDICARE
PA
01
—
16025
JOHNS HOPKINS
PA
01
—
186188
HIGHMARK BLUE SHIELD
PA
01
—
20005827
AMERIHEALTH MERCY-YH
PA
01
—
251598
MAMSI-YH
PA
01
—
35428
GEISINGER
PA
01
—
5919136
AETNA
PA
01
—
615811
CAREFIRST MD BCBS
MD
01
—
80778
UNISON-YH
PA
01
—
P003057
GATEWAY-YH
PA
Enumeration date
07/05/2006
Last updated
06/10/2016
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