NPIMap

Organization Active NPI

Ulrich Medical Clinic, LLC

  • Family Medicine Physician
  • East Bernstadt, KY
National Provider Identifier
1043339708
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ULRICH MEDICAL CLINIC, LLC
Practice address
1655 E Highway 3094
East Bernstadt, KY 40729-6216
Phone
(606) 843-2339
Fax
(606) 843-6815
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Dennis Andre Ulrich, M.D.
Title
Owner
Phone
(606) 843-2339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1655 E Highway 3094
East Bernstadt, KY 40729-6216

Mailing address

1655 East Hwy 3094
PO Box 328
East Bernstadt, KY 40729
Phone (606) 843-2339

Other identifiers 5

IdentifierTypeStateIssuer
C92143OtherKYCUMBERLAND HEALTHCARE, IN
080138185OtherKYRAILROAD MEDICARE
000000077248OtherKYBLUE CROSS BLUE SHIELD
64196298MedicaidKY
100495OtherKYFEDERAL BLACK LUNG PROGRA

Other names 1

  • Dennis A Ulrich Former legal business name

National Provider Directory

National Provider Directory

Locations

1655 E Highway 3094
Ste 1A
East Bernstadt, KY 40729

6209 N US Highway 25E
Gray, KY 40734

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1043339708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 EAST HWY 3094",
            "address_2": "PO BOX 328",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "40729",
            "telephone_number": "606-843-2339",
            "fax_number": "606-843-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E HIGHWAY 3094",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407296216",
            "telephone_number": "606-843-2339",
            "fax_number": "606-843-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULRICH MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-843-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE, IN",
            "identifier": "C92143",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080138185",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000077248",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64196298",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRA",
            "identifier": "100495",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis A Ulrich",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Bernstadt, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.