Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Amos Bush II

Individual provider Vascular Surgery Physician · NPI 1619361680

Charles Amos Bush II is a Vascular Surgery in Louisville, Kentucky. Graduated from University of South Alabama College of Medicine in 2015, 11 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
11
Trained at
University of South Alabama College of Medicine
Licensed in
IN, KY
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

4003 Kresge Way Ste 300
Louisville, KY 40207-4652
Phone: (502) 897-5139
Fax: (502) 896-6218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 56602 (KY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 01087790A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619361680
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL PRACTICE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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