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Individual

MR. STEVEN BRIAN BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Mailing address
3406 BROWN RD, MADISONVILLE, KY 42431-8915
(615) 636-9834

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD24698
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1509253
MEDICAID - MTI
TN
05
1509253
TN
05
3894770
TN
05
3894771
TN
01
4089758
BCBS
TN
01
4089768
BCBS
TN
01
4200634
BCBS TN
TN
01
4291457
BCBS - MTI
TN
01
64923634
KY MEDICAID
KY
01
P00178417
RAILROAD MEDICARE
TN
Enumeration date
06/05/2006
Last updated
04/04/2023
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