Bluegrass Cardiology PSC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

02196 Issued in KY

Legal business name

BLUEGRASS CARDIOLOGY PSC

Practice address

60 Mercy Court
Irvine, KY 40336

Phone

(859) 624-1826

Fax

(859) 624-1744

NPI assigned

May 2, 2007

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn T Morris, DO

Title

Corp President

Phone

(859) 624-1826

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1003037375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYPASS",
            "address_2": "SUITE 106",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERCY COURT",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "40336",
            "telephone_number": "859-624-1826",
            "fax_number": "859-624-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS CARDIOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "859-624-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "02196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1685",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931958",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Arthur, LMT
• Melissa Barnett, PMHNP
• Bassem Adie MD PLLC
• Andrea Bledsoe, CCC-SLP
• Kristy Lee Bledsoe, RD LD
• Kristin T Brake, RN
• Jan Andrea Brandenburg, RPH
• Jerrica Lee Brandenburg, LPCA, CADC
• Krista Rose Brandenburg, PT, MS
• Katherine Diana Britz, RANK 2 CERTIFIED

• Cardiovascular Disease Physician in Irvine, KY
• Providers in Irvine, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.