Thomas Glenn Aldridge II

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bowling Green, KY

NPI 1205778487 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1205778487
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
250 Park St
Bowling Green, KY 42101-1760
Phone
(270) 796-6540
Fax
(270) 796-6576
NPI assigned
Apr 7, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X KY Yes

Addresses

Primary practice location

250 Park St
Bowling Green, KY 42101-1760

Mailing address

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 796-6540

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.