Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629925508 Individual Practitioner Female Practitioner

Deidra L Bush

General Practice • Chippewa Falls, WI

Professional Overview & Biography Verified Profile Summary

Deidra Bush is a registered healthcare professional specializing in General Practice in Chippewa Falls, WI. Practice services are available at 475 CHIPPEWA MALL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

475 Chippewa Mall Dr

Chippewa Falls, WI 547295034

Telephone 7157203780
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chippewa Falls, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Chippewa Falls, WI (130 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-11
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 304253-31

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Jeremiah Stromich , MD

Internal Medicine - Infectious Disease

NPI 1326466186

Doctor of Medicine (M.D.)

NPI 1396036893

Doctor of Medicine (M.D.)

NPI 1417354564

Doctor of Pharmacy (Pharm.D.)

Randall Machalk , RN

Registered Nurse - Ambulatory Care

NPI 1417799586

Registered Nurse

George Kmetz , PA-C

Physician Assistant - Medical

NPI 1437178019

Physician Assistant (Certified)

Dr. Annie Thomas , MD

Family Medicine

NPI 1558381202

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2026

Registered at 475 CHIPPEWA MALL DR, CHIPPEWA FALLS, WI 547295034 (Tel: 7157203780)

📍
Updated Business Mailing Address March 11, 2026

Registered at 475 CHIPPEWA MALL DR, CHIPPEWA FALLS, WI 547295034 (Tel: 7157203780)

👤
Provider Name / Credentials Updated March 11, 2026

Recorded as DEIDRA BUSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2026

General Practice (License #304253-31 in WI)

🟢
Initial NPI Registration & Enumeration March 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Deidra Bush. Be the first to share your experience!

Sign in to leave a review for Deidra Bush

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629925508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2026
Last Update: March 11, 2026
Sole Proprietor: No

Mailing Address

475 Chippewa Mall Dr

Chippewa Falls, WI 547295034

Phone: 7157203780

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.