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JOSEPH A BUSHONG PA
NPI 1386822013
Physician Assistant - Medical in Saint Louis, MO

Active since February 05, 2008
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100(314) 289-7694 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph A Bushong Pa NPPES

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

JOSEPH A BUSHONG PA (NPI 1386822013) is an individual medical provider in Saint Louis, Missouri, licensed in Missouri (2010015649) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1386822013
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSEPH A BUSHONGCredential: PA
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 289-6434 · Fax (314) 289-7694
Phone(314) 652-4100
Fax(314) 289-7694
Sole ProprietorNo
Enumeration DateFebruary 5, 2008
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1386822013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MO · 2010015649
915 N GRAND BLVD, Saint Louis, MO 63106
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Other Providers at the Same Location NPPES 20

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

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Joseph Bushong's NPI number?

The NPI number for Joseph Bushong is 1386822013. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Joseph Bushong located?

Joseph Bushong practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Joseph Bushong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Joseph Bushong was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.