DR. DAVID SAMUEL BUSH PH.D.
NPI 1295803054
Clinical Neuropsychologist in Palm Beach Gardens, FL

Q: What is David Bush's NPI number?

The NPI number for David Bush is 1295803054. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is David Bush's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is David Bush enrolled in Medicare?

No. David Bush has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Bush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 01, 2006Opted out of Medicare · through Apr 1, 2027

11211 PROSPERITY FARMS ROAD, PALM BEACH GARDENS, FL 33410(561) 622-8881(561) 622-8018 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David Samuel Bush Ph.d. NPPES

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

DR. DAVID SAMUEL BUSH PH.D. (NPI 1295803054) is an individual clinical neuropsychologist in Palm Beach Gardens, Florida, licensed in Florida (PY003425) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295803054

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. DAVID SAMUEL BUSHCredential: PH.D.

Location Address11211 PROSPERITY FARMS ROADPalm Beach Gardens, FL 33410-3401

Mailing Address11211 Prosperity Farms RoadPalm Beach Gardens, FL 33410-3401 · (561) 622-8881

Phone(561) 622-8881

Fax(561) 622-8018

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295803054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in FL · PY003425

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

11211 PROSPERITY FARMS ROAD, Palm Beach Gardens, FL 33410

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Other Identifiers 1

Medicare ID-Type Unspecified75751AFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Samuel Bush Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 David Bush's NPI number?

The NPI number for David Bush is 1295803054. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is David Bush located?

David Bush practices at 11211 Prosperity Farms Road, Palm Beach Gardens, FL 33410. The listed phone number is (561) 622-8881.

What is David Bush's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is David Bush enrolled in Medicare?

No. David Bush has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Bush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.