Individual provider · Type 1 NPI

Charles Amos Bush Ii

Vascular Surgery Physician · Louisville, KY

NPI number 1619361680 Active

Practice location

4003 Kresge Way Ste 300
Louisville, KY 40207-4652

Call (502) 897-5139 Map

Fax (502) 896-6218

Mailing address

5200 Commerce Crossings Dr Fl 3
Louisville, KY 40229-2182

Other practice locations

  • 1919 State St Ste 200, New Albany, IN 47150-6804 · (502) 897-5139
  • 4894 Reynolds Ln, Vestavia, AL 35242-7462 · (205) 876-3933

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X01087790A (IN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular Surgery Physician Primary 2086S0129X56602 (KY)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

12 other providers at this address

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About NPI 1619361680

Charles Amos Bush Ii's National Provider Identifier is 1619361680, issued on Mar 26, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Louisville, KY. The record was last updated on Mar 1, 2024.