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

Dr. Shane David Bush, MD

Individual provider Family Medicine Physician · NPI 1316258874

Dr. Shane David Bush, MD is a Family Practice in Portage, Indiana. Qualified in 2010, 16 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone: (219) 364-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01071914A (IN)

Record details

NPI number1316258874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 2, 2015
Mailing address3630 Willowcreek Rd, Portage, IN 46368-5075

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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