Hendren and Lockett PLLC

Organization Active NPI Family Medicine Physician · Bloomfield, KY

NPI 1235295296 · NPPES record last updated Jan 6, 2021

Key facts

NPI
1235295296
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
19893 (KY)
Legal business name
HENDREN AND LOCKETT PLLC
Practice address
107 Perry St
Bloomfield, KY 40008
Phone
(502) 252-5081
Fax
(502) 252-7211
NPI assigned
Dec 27, 2006
Organization subpart
No

Authorized official

Name
Dr. Robert D Hendren NPI 1942259445
Title
Doctor Partner
Phone
(502) 252-5081

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050422000720 KY Part B Supplier - Clinic/Group Practice 4688612203 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomfield, KY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 16252 KY
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 19893 KY Yes

Addresses

Primary practice location

107 Perry St
Bloomfield, KY 40008

Mailing address

PO Box 400
Bloomfield, KY 40008
Phone (502) 252-5081

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2021.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1235295296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "40008",
            "telephone_number": "502-252-5081",
            "fax_number": "502-252-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PERRY ST",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "40008",
            "telephone_number": "502-252-5081",
            "fax_number": "502-252-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDREN AND LOCKETT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HENDREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR PARTNER",
        "authorized_official_telephone_number": "502-252-5081",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "16252",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, KY

All providers in Bloomfield, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.