Individual provider Active NPI

Brian Wayne Chaney, MD

  • Internal Medicine Physician
  • Powderly, KY
National Provider Identifier
1124029160
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37309 Issued in KY
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

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64048325MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
37309KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 5, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.