Active NPI
Neuroscience Institute of Kentucky LLC
- Neurology Physician
- Somerset, KY
National Provider Identifier
1316662679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROSCIENCE INSTITUTE OF KENTUCKY LLC
- Practice address
- 112 S Main St Ste a
Somerset, KY 42501-2063 - Phone
- (606) 744-1614
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Ballet
- Title
- Cao
- Phone
- (860) 771-0622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
112 S Main St Ste a
Somerset, KY 42501-2063
Mailing address
112 S Main St Ste a
Somerset, KY 42501-2063
Phone (606) 744-1614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 S Main St
#A
Somerset, KY 42501
Phone (606) 744-1614
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1316662679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S MAIN ST STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012063",
"telephone_number": "606-744-1614",
"fax_number": "606-402-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S MAIN ST STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012063",
"telephone_number": "606-744-1614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSCIENCE INSTITUTE OF KENTUCKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A",
"authorized_official_last_name": "BALLET",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "860-771-0622"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.