Individual provider Active NPI

Bryan A. Shouse, M.D.

  • Surgery Physician
  • Frankfort, KY
National Provider Identifier
1043265069
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39886 Issued in KY
Practice address
1 Physicians Park
Frankfort, KY 40601-4107
Phone
(502) 223-7629
Fax
(502) 223-9829
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39886 KY Primary

Addresses

Primary practice location

1 Physicians Park
Frankfort, KY 40601-4107

Mailing address

1 Physicians Park
Frankfort, KY 40601-4107
Phone (502) 223-7629

Other identifiers 4

IdentifierTypeStateIssuer
17-00426OtherKYUNITED HEALTHCARE
H19838OtherKYBLUEGRASS FAMILY HEALTH
64017320MedicaidKY
000000109039OtherKYANTHEM PIN

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
I20101027000413 KY Practitioner - General Surgery 3072707710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Specialists of Kentucky LLCGroup PAC ID 2466519673, 5 clinicians

Practice addresses (Care Compare)

279 Kings Daughters Dr
Suite 308
Frankfort, KY 40601-6564
Phone (502) 875-7000

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

624 Chamberlin Ave
Suite B
Frankfort, KY 40601-4220
Phone (502) 223-7629

Hospital & facility affiliations

  • Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Specialists of Kentucky LLC Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

624 Chamberlin Ave
Ste B
Frankfort, KY 40601
Phone (502) 223-7629

279 Kings Daughters Dr
Ste 308
Frankfort, KY 40601
Phone (502) 875-7000

1 Physicians Park
Frankfort, KY 40601
Phone (502) 223-7629

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: bryan.shouse@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043265069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014107",
            "telephone_number": "502-223-7629",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014107",
            "telephone_number": "502-223-7629",
            "fax_number": "502-223-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "BRYAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "39886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "17-00426",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "H19838",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017320",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000109039",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.