Active NPI
Peter B Hardin, MD
- Radiation Oncology Physician
- Campbellsville, KY
National Provider Identifier
1366419814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 42374
- Practice address
- 125 Greenbriar Dr
Campbellsville, KY 42718-9616 - Phone
- (270) 789-9999
- Fax
- (270) 789-0247
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4301081290 | MI | |
| Radiation Oncology Physician | 2085R0001X | 42374 | KY | Primary |
Addresses
Primary practice location
125 Greenbriar Dr
Campbellsville, KY 42718-9616
Mailing address
125 Greenbriar Dr
Campbellsville, KY 42718-9616
Phone (270) 789-9999
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104495980 | Medicaid | MI | |
| C55045 | Other | KY | CUMBERLAND HEALTHCARE |
| 1366419814 | Other | TRICARE | |
| 7100060870 | Medicaid | KY | |
| 000000664006 | Other | ANTHEM | |
| 50028881 | Other | KY | PASSPORT HEALTH PLAN/PASSPORT ADVANTAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301081290 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Bronson Methodist Hospital | Past | Accepting new patients | |
| Kentucky Radiation Therapy Associates PSC | Radiation Oncology | Past | Accepting new patients |
| Richard a McGahan PSC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Elizabethtown, KY
- NPI 1174682710
-
- Radiation Oncology Physician
- Bowling Green, KY
- NPI 1053446179
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1366419814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GREENBRIAR DR",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189616",
"telephone_number": "270-789-9999",
"fax_number": "270-789-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 GREENBRIAR DR",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189616",
"telephone_number": "270-789-9999",
"fax_number": "270-789-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "PETER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301081290",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "42374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104495980",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CUMBERLAND HEALTHCARE",
"identifier": "C55045",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1366419814",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100060870",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000664006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN/PASSPORT ADVANTAGE",
"identifier": "50028881",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.