HomeNPI Verification

NPI Verification

National Provider Identifier: 1679003941

Jordan Bushman, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

26901 BEAUMONT BLVD STE 3D

SOUTHFIELD, MI 480333849

NPI Enumeration Date

June 19, 2017

NPI Number

1679003941

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry