National Provider Identifier

Todd Michael Bush, PA-C

Todd Michael Bush, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 632-8383.

NPI 1760615587Boston, MASurgical Physician Assistant

Source: public NPPES record, last updated August 27, 2009. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1760615587
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
August 27, 2009
Last Updated
August 27, 2009

Practice Location

  • 110 Francis St
  • Suite 2A
  • Boston, MA 02215-5501

Phone: (617) 632-8383

Specialties

  • Surgical Physician Assistant (363AS0400X)

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Biography

Todd Bush, PA-C, is a Boston surgical physician assistant affiliated with Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center. Public Medicare directory data lists him as a 2004 graduate with more than two decades of physician assistant experience; his BIDMC practice setting is associated with the medical center’s Division of Cardiac Surgery, part of its CardioVascular Institute.

Full Record
NPI
1760615587
Entity Type
Individual
Last Name
Bush
First Name
Todd
Middle Name
Michael
Name Prefix
Mr.
Credential
PA-C
Mailing Street Address
110 Francis St
Mailing Address Line 2
Suite 2A
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02215-5501
Mailing Country
US
Mailing Phone
(617) 632-8383
Mailing Fax
(617) 632-7562
Practice Street Address
110 Francis St
Practice Address Line 2
Suite 2A
Practice City
Boston
Practice State
MA
Practice ZIP Code
02215-5501
Practice Country
US
Practice Phone
(617) 632-8383
Practice Fax
(617) 632-7562
Enumeration Date
August 27, 2009
Last Updated
August 27, 2009
Sex
Male
Sole Proprietor
No
Taxonomies
Surgical Physician Assistant (363AS0400X)