Jerry Wayne Martin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KY.13674 Issued in KY

Practice address

2162 Nashville Road
Bowling Green, KY 42101-3849

Phone

(270) 782-8781

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1306229968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 NASHVILLE ROAD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013849",
            "telephone_number": "270-782-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 NASHVILLE ROAD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013849",
            "telephone_number": "270-782-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY.13674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCN",
            "identifier": "02072755015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy H. Martin, M.D.
• Catherine Elizabeth Martin
• Dianne Berkley Martin
• Gia Martin
• Janet N Martin, L.C.S.W.
• Kane Martin, RBT
• Kari M Martin, LPN
• Katlyn Martin, PHARMD
• Leia Martin, CRNA
• Lydia B Martin, MS, RBT

• Family Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.