NPIMap

Individual provider Active NPI

B Bradley Albertson, DO

  • Pediatrics Physician
  • Benton, KY
National Provider Identifier
1346228467
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
02826 Issued in KY
Practice address
83 Wellness Way Ste 101&201
Benton, KY 42025-7156
Phone
(270) 527-0045
NPI assigned
Jan 9, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02826 KY
Pediatrics Physician 208000000X 02826 KY Primary

Addresses

Primary practice location

83 Wellness Way Ste 101&201
Benton, KY 42025-7156

Mailing address

83 Wellness Way Ste 101&201
Benton, KY 42025-7156

Other identifiers 1

IdentifierTypeStateIssuer
64082555MedicaidKY

Other names 1

  • Byron Bradley Albertson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000321 KY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 1951373844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

83 Wellness Way
Benton, KY 42025-7156

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02826KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Lourdes Hospital LLC Current Accepting new patients
Mercy Health-Lourdes Hospital LLC CurrentSince Dec 1, 2023 Accepting new patients
Mercy Health-Lourdes Hospital LLC CurrentSince Dec 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky LLC Pediatrics CurrentSince Dec 8, 2013 Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients
Bloomsburg Physicians Services Internal Medicine Past Accepting new patients
Albertson Family Medical Center Past Accepting new patients

Locations

615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800

83 Wellness Way
Benton, KY 42025
Phone (270) 527-8601

83 Wellness Way
#2
Benton, KY 42025
Phone (270) 527-0045

83 Wellness Way
Ste 101
Benton, KY 42025
Phone (270) 527-0045

83 Wellness Way
Ste 101201
Benton, KY 42025
Phone (270) 527-0045

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: balbertson90080@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1346228467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WELLNESS WAY STE 101&201",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WELLNESS WAY STE 101&201",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257156",
            "telephone_number": "270-527-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "B",
        "middle_name": "BRADLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "02826",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "02826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64082555",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BYRON",
            "last_name": "ALBERTSON",
            "middle_name": "BRADLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.