Individual provider Active NPI

Randol Brown, ARNP

  • Family Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1134738172
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017196 Issued in KY
Practice address
103 Keystone Dr
Richmond, KY 40475-7988
Phone
(859) 353-8884
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61087945 WA
Family Nurse Practitioner 363LF0000X 3017196 KY Primary

Addresses

Primary practice location

103 Keystone Dr
Richmond, KY 40475-7988

Mailing address

210 Mallory SPG
Berea, KY 40403-9653
Phone (859) 302-0110

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305003413 KY Practitioner - Nurse Practitioner 3173931235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ky Urgent Care Center IncGroup PAC ID 4183983547, 8 clinicians

Practice addresses (Care Compare)

103 Keystone Dr
Suite 5
Richmond, KY 40475-7988
Phone (859) 353-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61087945WAMDNurse Practitioner
3017196KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ky Urgent Care Center Inc Family CurrentSince Jan 19, 2026 Accepting new patients

Locations

103 Keystone Dr
Ste 5
Richmond, KY 40475
Phone (859) 353-8884

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16909/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1134738172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALLORY SPG",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039653",
            "telephone_number": "859-302-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 KEYSTONE DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757988",
            "telephone_number": "859-353-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDOL",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61087945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.