What is Deidra Bush's NPI number?

Deidra Bush's National Provider Identifier (NPI) is 1629925508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Deidra Bush's specialty?

Deidra Bush is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Deidra Bush located?

Deidra Bush's practice location on file with NPPES is 475 Chippewa Mall Dr, Chippewa Falls, WI 54729-5034.

What is Deidra Bush's phone number?

The practice phone number listed in the NPPES registry for Deidra Bush is (715) 720-3780.

Is Deidra Bush's NPI active?

Yes — Deidra Bush's NPI (1629925508) is active in the NPPES registry as of the last update on 2026-03-11.

IndividualActive

Deidra Bush

NPI 1629925508 · General Practice Physician · Chippewa Falls, WI

Deidra Bush is a General Practice Physician provider in Chippewa Falls, WI (NPI 1629925508).

Provider details

NPI number: 1629925508
Entity type: Individual
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No
License: 304253-31 (WI)

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense 304253-31 (WI)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

475 Chippewa Mall Dr

Chippewa Falls, WI 54729-5034

Phone: (715) 720-3780

Street-level locationGet directions

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Mailing address