Individual provider Active NPI

Leroy V Bilbrey, PH.D.

  • Clinical Psychologist
  • Cookeville, TN
National Provider Identifier
1265467443
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P1220 Issued in TN
Practice address
427 N Willow Ave
Suite 1
Cookeville, TN 38501-2354
Phone
(931) 528-8801
NPI assigned
Jul 12, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P1220 TN Primary

Addresses

Primary practice location

427 N Willow Ave
Suite 1
Cookeville, TN 38501-2354

Mailing address

PO Box 321
Cookeville, TN 38503-0321
Phone (931) 528-8801

Other names 1

  • Dr. Roy V Bilbrey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001055 TN Practitioner - Clinical Psychologist 1153300165 Practice locations: Cookeville, TN; Cookevill, TN; Crossville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 N Willow Ave
Cookeville, TN 38501-0225
Phone (931) 528-8801

P O Box
Suite 321
Cookeville, TN 38503-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P1220TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health Services, Inc Past Accepting new patients
Behavioral Diagnostics, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1265467443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385030321",
            "telephone_number": "931-528-8801",
            "fax_number": "931-839-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N WILLOW AVE",
            "address_2": "SUITE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012354",
            "telephone_number": "931-528-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBREY",
        "first_name": "LEROY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROY",
            "last_name": "BILBREY",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.