Organization Active NPI

Brownsboro Park Pediatrics

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1245320225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BROWNSBORO PARK PEDIATRICS
Practice address
6002 Brownsboro Park Blvd
Louisville, KY 40207-1298
Phone
(502) 897-3232
Fax
(502) 895-4389
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy C Daly, MDNPI 1043339419
Title
Doctor
Phone
(502) 895-4389

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6002 Brownsboro Park Blvd
Louisville, KY 40207-1298

Mailing address

6002 Brownsboro Park Blvd
Louisville, KY 40207-1298
Phone (502) 897-3232

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0689709Brownsboro Park Pediatrics6002 Brownsboro Park Blvd, Louisville, KY 40207ComplianceJan 30, 2027

National Provider Directory

National Provider Directory

Locations

6002 Brownsboro Park Blvd
Louisville, KY 40207
Phone (502) 897-3232

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245320225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 BROWNSBORO PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071298",
            "telephone_number": "502-897-3232",
            "fax_number": "502-895-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 BROWNSBORO PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071298",
            "telephone_number": "502-897-3232",
            "fax_number": "502-895-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSBORO PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "502-895-4389",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.