1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Dentist
  6. NPI Profile

BRADLY ROBERT BUSH DMD
NPI 1033219712
Dentist in Saint Louis, MO

Active since September 23, 2006PECOS Enrolled
1500 PARK AVENUE, SAINT LOUIS, MO 63104(314) 898-1700(314) 814-8542 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradly Robert Bush Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLY ROBERT BUSH DMD (NPI 1033219712) is an individual dentist in Saint Louis, Missouri, licensed in Illinois (019021954) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033219712
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRADLY ROBERT BUSHCredential: DMD
Location Address1500 PARK AVENUESaint Louis, MO 63104-3024
Mailing Address1717 Biddle StSaint Louis, MO 63106-3454 · (314) 898-1700 · Fax (314) 814-8542
Phone(314) 898-1700
Fax(314) 814-8542
Sole ProprietorYes
Enumeration DateSeptember 23, 2006
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1033219712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019021954
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1500 PARK AVENUE, Saint Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradly Robert Bush Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFINIA HEALTHCARE
Dentist
1500 PARK AVENUE
SAINT LOUIS, MO 63104
St. Louis City (314) 898-1700
LAMIYA TANOVIC
Student in an Organized Health Care Education/Training Program
1500 PARK AVENUE
ST. LOUIS, MO 63104
St. Louis City (314) 833-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradly Bush's NPI number?

The NPI number for Bradly Bush is 1033219712. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Bradly Bush located?

Bradly Bush practices at 1500 Park Avenue, Saint Louis, MO 63104. The listed phone number is (314) 898-1700.

What is Bradly Bush's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bradly Bush enrolled in Medicare?

Yes. Bradly Bush is registered in the Medicare PECOS enrollment system.

What insurance does Bradly Bush accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Bradly Bush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradly Bush was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.