Phillip W Bale, MD
Individual provider Active NPI Family Medicine Physician · Glasgow, KY
NPI 1376533992 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1376533992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20062 (KY)
- Practice address
- 1330 N Race St
Glasgow, KY 42141-3465 - Phone
- (270) 629-5111
- Fax
- (270) 783-3760
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Graves Gilbert Clinic PLLC
Practice addresses (Care Compare)
1330 N Race St
Glasgow, KY 42141-3465
Phone (270) 629-5111
Hospital & facility affiliations
- T. J. Samson Comm Hosp Home Care Program
- Hosparus, Inc
- T J Samson Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Glasgow State Nursing Facility |
Skilled nursing facility | Corporate Officer Adp of the SNF |
Aug 1, 1979 Aug 1, 1979 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070919000378 | KY | Practitioner - Family Practice | 2365536562 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Kentucky Center for the Prevention of Heart Attack Stoke and Diabetes | Family Medicine | Past |
Accepting new patients |
Locations
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
1330 N Race St
Ste 2
Glasgow, KY 42141
Phone (270) 651-6791
1330 N Race St
Glasgow, KY 42141
Phone (270) 629-2780
Interoperability endpoints
- phillipbale@ggc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20062 | KY | Yes |
Addresses
Primary practice location
1330 N Race St
Glasgow, KY 42141-3465
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 780-2497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64200629 | Medicaid | KY |
Other providers in Glasgow, KY
- Sachin Vimal Bahadur
- Christina Michele Bailey
- Kelvin T Bailey
- Joseph Luke Baise
- Kelly Baker
- Tonya Ballard
- Angela C Barlow
- Barren County Board of Education
- Barren County Health Care Center
- Barren River Chiropractic, PLLC
All providers in Glasgow, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.