Jeffrey Lee Bitterling, M.D.
Individual provider Active NPI Pediatrics Physician · Bowling Green, KY
NPI 1154469625 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1154469625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 33335 (KY)
- Practice address
- 1211 Ashley Cir
Bowling Green, KY 42104-3383 - Phone
- (270) 782-8700
- Fax
- (270) 782-8704
- NPI assigned
- Feb 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716001624 | KY | Practitioner - Pediatric Medicine | 7810200078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients |
Locations
1211 Ashley Cir
Bowling Green, KY 42104
Phone (270) 782-8700
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
Interoperability endpoints
- jeffreybitterling@ggc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33335 | KY | Yes |
Addresses
Primary practice location
1211 Ashley Cir
Bowling Green, KY 42104-3383
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-5111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64333354 | Medicaid | KY |
Other providers in Bowling Green, KY
- Dana Renee Bird
- Leslie Allyn Birdwhistell
- Daniel Jacob Birkenhauer
- Meghan Thomas Birkenhauer
- Thomas James Birkenhauer
- Michael Bjoralt
- Laura Black
- Michelle R Black
- Logan Blackmon
- Cassandra Collette Blackwell
All providers in Bowling Green, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.