Individual provider Active NPI

Jacob A Bishop, MD

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1013324136
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R3432 Issued in KY
Practice address
245 Fountain CT
Lexington, KY 40509-1888
Phone
(859) 323-6861
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R3432 KY
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X R3432 KY Primary

Addresses

Primary practice location

245 Fountain CT
Lexington, KY 40509-1888

Mailing address

5200 Commerce Crossing
3Rd Floor
Louisville, KY 40229
Phone (502) 253-4924

Other practice location 1

1 Trillium Way
Corbin, KY 40701-8426
Phone (606) 523-8521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbishop73435@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904001593 KY Practitioner - Psychiatry 6507144698 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
Bradley Recovery CenterGroup PAC ID 8820596380, 4 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

10400 Dixie Hwy
Suite 103
Louisville, KY 40272-5913
Phone (502) 409-4013

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 27, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Bradley Recovery Center Psychiatry CurrentSince Nov 7, 2025 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Isaiah House, Inc. CurrentSince Oct 14, 2018 Accepting new patients
Baptist Health Medical Group Inc Psychiatry CurrentSince Sep 30, 2019 Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

1090 Industry Rd
Harrodsburg, KY 40330
Phone (816) 617-6948

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

10400 Dixie Hwy
Ste 103
Louisville, KY 40272
Phone (502) 409-4013

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

1407 W Jefferson St
Ste 200
Louisville, KY 40203
Phone (502) 409-4013

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2084 Main St
Willisburg, KY 40078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDBDDD/Endpoint/FDBDDD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1013324136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSING",
            "address_2": "3RD FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40229",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FOUNTAIN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091888",
            "telephone_number": "859-323-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Trillium Way",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407018426",
            "country_code": "US",
            "telephone_number": "606-523-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JACOB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "R3432",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbishop73435@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1 Trillium Way",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407018426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.