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
- Title
- Doctor Partner
- Phone
- (502) 252-5081
Practitioners 3
-
Christy Ann Case, ARNP
-
Lisa Carole Primm, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 16252 | KY | |
| Family Medicine Physician |
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
{
"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
- Claywell, Inc
- Jonathan Lee Cornell
- Tami Michelle Grant
- Lori A Haines
- Margaret Adison Hayden
- Robert Dawson Hendren
- Jessica B Ice
- Steve King
- Fredericka Creech Lockett
- Amber Nicole Osborne
All providers in Bloomfield, KY · Family Medicine 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 Jan 6, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.