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

Jeremiah Bush

Individual provider Physician Assistant · NPI 1174074033

Jeremiah Bush is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2016
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Practice location Address checks out

4636 Woodland Ave Apt 2
Philadelphia, PA 19143-3854
Phone: (216) 209-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174074033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Philadelphia