Bicknell Medical Center Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION

Practice address

510 W 11TH St
Bicknell, IN 47512-9626

Phone

(812) 735-4040

Fax

(812) 735-3332

NPI assigned

Sep 12, 2005

Last updated

Apr 30, 2014By 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

Mrs. Kimberly R Kirkwood

Title

Business Manager

Phone

(812) 735-4040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1093700577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 11TH ST",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475129626",
            "telephone_number": "812-735-4040",
            "fax_number": "812-735-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 11TH ST",
            "city": "BICKNELL",
            "state": "IN",
            "postal_code": "475129626",
            "telephone_number": "812-735-4040",
            "fax_number": "812-735-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKNELL MEDICAL CENTER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "812-735-4040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Bicknell, IN
• Providers in Bicknell, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.