Organization Active NPI

Nicole Vessels Brey MD

  • Dermatology Physician
  • Owensboro, KY
National Provider Identifier
1356663116
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
40950 Issued in KY
Legal business name
NICOLE VESSELS BREY MD
Practice address
2200 E Parrish Ave
BLDG E Suite 205
Owensboro, KY 42303-1449
Phone
(270) 852-1645
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Nicole Vessels Brey, MD
Title
Owner
Phone
(270) 852-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 40950 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave
BLDG E Suite 205
Owensboro, KY 42303-1449

Mailing address

2200 E Parrish Ave
BLDG E Suite 205
Owensboro, KY 42303-1449
Phone (270) 852-1645

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1356663116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG E SUITE 205",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-852-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG E SUITE 205",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-852-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE VESSELS BREY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "BREY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "VESSELS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-852-1645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "40950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.