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DEIDRA L BUSH
NPI 1629925508
General Practice in Chippewa Falls, WI

Active since March 11, 2026
475 CHIPPEWA MALL DR, CHIPPEWA FALLS, WI 54729(715) 720-3780 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deidra L Bush NPPES

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

DEIDRA L BUSH (NPI 1629925508) is an individual general practice provider in Chippewa Falls, Wisconsin, licensed in Wisconsin (304253-31) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1629925508
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDEIDRA L BUSH
Location Address475 CHIPPEWA MALL DRChippewa Falls, WI 54729-5034
Mailing Address475 Chippewa Mall DrChippewa Falls, WI 54729-5034 · (715) 720-3780
Phone(715) 720-3780
Sole ProprietorNo
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1629925508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 304253-31
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
475 CHIPPEWA MALL DR, Chippewa Falls, WI 54729
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Other Providers at the Same Location NPPES 8

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

MEGAN LEWIS BA
Counselor (Professional)
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 836-0064
JEREMIAH STROMICH M.D.
Internal Medicine (Infectious Disease)
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-3780
ANGELA MARIE ROGGE LPN
Licensed Practical Nurse
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-3067
NATHAN J MEYER DC
Chiropractor
475 CHIPPEWA MALL DR, STE 404
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-7116
HEALTHVIEW EYE CARE CENTER - CHIPPEWA, SC
Optometrist
475 CHIPPEWA MALL DR, SUITE 145
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 726-2020
DANE JUSULA LCSW
Social Worker (Clinical)
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-3780
STACY LYNN DUVALL
Licensed Practical Nurse
475 CHIPPEWA MALL DR
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-3780
STEPHANIE PATRICIA BAZAL D.P.T., G.C.S.
Physical Therapist
475 CHIPPEWA MALL DR, 418
CHIPPEWA FALLS, WI 54729
Chippewa County (715) 720-3086

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 Deidra Bush's NPI number?

The NPI number for Deidra Bush is 1629925508. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Deidra Bush located?

Deidra Bush practices at 475 Chippewa Mall Dr, Chippewa Falls, WI 54729. The listed phone number is (715) 720-3780.

What is Deidra Bush's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Deidra Bush was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.