NPIMap

Organization Active NPI

Reginald J Widick

  • Hearing Instrument Specialist
  • Bowling Green, KY
National Provider Identifier
1023362118
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
REGINALD J WIDICK
Practice address
1043 Pedigo Way
Suite 40
Bowling Green, KY 42103-7196
Phone
(270) 745-7182
NPI assigned
Oct 29, 2012
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Reginald WidickNPI 1033384128
Title
Owner
Phone
(270) 745-7182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

1043 Pedigo Way
Suite 40
Bowling Green, KY 42103-7196

Mailing address

330 Franklin Rd
Suite 135a-121
Brentwood, TN 37027-3280
Phone (270) 745-7182

National Provider Directory

National Provider Directory

Locations

1043 Pedigo Way
Ste 40
Bowling Green, KY 42103
Phone (270) 745-7182

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1023362118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "address_2": "SUITE 135A-121",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "270-745-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY",
            "address_2": "SUITE 40",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037196",
            "telephone_number": "270-745-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD J WIDICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "WIDICK",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-745-7182"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.