Active NPI
Brian Wayne Chaney, MD
- Internal Medicine Physician
- Powderly, KY
National Provider Identifier
1124029160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37309
- Practice address
- 1010 Medical Center Drive
Powderly, KY 42367 - Phone
- (270) 377-1608
- Fax
- (270) 377-1681
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37309 | KY | Primary |
Addresses
Primary practice location
1010 Medical Center Drive
Powderly, KY 42367
Mailing address
1010 Medical Center Drive
Powderly, KY 42367
Phone (270) 377-1608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64048325 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bchaney6300@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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050801000367 | KY | Practitioner - Family Practice | 2668400649 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37309 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Ohio Valley Neurology LLC | Current | Accepting new patients |
Locations
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Interoperability endpoints
- bchaney6300@bhkydirect.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Powderly, KY
- NPI 1477048684
-
- Neurology Physician
- Madisonville, KY
- NPI 1023005394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1124029160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MEDICAL CENTER DRIVE",
"city": "POWDERLY",
"state": "KY",
"postal_code": "42367",
"telephone_number": "270-377-1608",
"fax_number": "270-377-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MEDICAL CENTER DRIVE",
"city": "POWDERLY",
"state": "KY",
"postal_code": "42367",
"telephone_number": "270-377-1608",
"fax_number": "270-377-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "BRIAN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "37309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64048325",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bchaney6300@bhkydirect.com",
"affiliation": "N",
"address_1": "1010 Medical Center Drive",
"city": "Powderly",
"state": "KY",
"country_code": "US",
"postal_code": "42367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Powderly, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.