Mark Bushaw, - General Practice in Norfolk, VA

Mark Bushaw, is a General Practice physician based in Norfolk, Virginia. Mark Bushaw is licensed to practice in Virginia (license number 0101270923) and his current practice location is 1627 Midway Rd, Norfolk, Virginia. He can be reached at his office (for appointments etc.) via phone at (701) 741-4241.

NPI number for Mark Bushaw is 1841759164 and his current mailing address is 1627 Midway Road, Norfolk, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841759164.

Contact Information

Mark Bushaw,
1627 Midway Rd,
Norfolk, VA 23518
(701) 741-4241
Not Available

Map and Direction




Physician's Profile

Full NameMark Bushaw
GenderMale
SpecialityGeneral Practice
Location1627 Midway Rd, Norfolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841759164
  • Provider Enumeration Date: 03/16/2019
  • Last Update Date: 09/23/2022

Medical Identifiers

Medical identifiers for Mark Bushaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841759164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 0101270923 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208D00000XGeneral Practice 0101270923 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Bushaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Bushaw,
1627 Midway Road,
Norfolk, VA 23518

Ph: () -
Mark Bushaw,
1627 Midway Rd,
Norfolk, VA 23518

Ph: (701) 741-4241

Reviews and Comments


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