TREVOR BUSHONG NPI 1104389113

NPI Information

NPI: 1104389113
Provider Name: TREVOR BUSHONG
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-4411
Get Directions

Trevor Bushong is a neonatal-perinatal medicine pediatrics in Columbus, OH. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Trevor Bushong NPI is 1104389113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205-664
Phone: (614) 722-4411

The NPI 1104389113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		A178457	CALIFORNIA	No
2	208000000X	Pediatrics		57.24806	OHIO	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	A178457	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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