Individual provider Active NPI

Norman Leeper, MD

  • Psychiatry Physician
  • Bowling Green, KY
National Provider Identifier
1386745628
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30320 Issued in TN
Practice address
1035 Porter Pike
Bowling Green, KY 42103-9581
Phone
(270) 843-1199
Fax
(270) 782-9996
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30320 TN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 41761 KY

Addresses

Primary practice location

1035 Porter Pike
Bowling Green, KY 42103-9581

Mailing address

1035 Porter Pike
Bowling Green, KY 42103-9581
Phone (270) 843-1199

Other identifiers 1

IdentifierTypeStateIssuer
7100043320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111214000534 TN Practitioner - Psychiatry 3678748993 Reassigns benefits to 1 organization
I20141114001196 KY Practitioner - Psychiatry 3678748993 Practice locations: Bowling Green, KY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

2700 Executive Park NW
Cleveland, TN 37312-2722
Phone (423) 479-9581

510 E Main St
Gallatin, TN 37066-2458
Phone (615) 452-1354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30320TNMDPsychiatry Physician
41761KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Jul 1, 2003 Accepting new patients
Uhs of Bowling Green LLC Past Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

510 E Main St
Gallatin, TN 37066
Phone (615) 328-6690

133 Indian Lake Rd
Hendersonvlle, TN 37075
Phone (615) 824-5801

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1386745628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PORTER PIKE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421039581",
            "telephone_number": "270-843-1199",
            "fax_number": "270-782-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PORTER PIKE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421039581",
            "telephone_number": "270-843-1199",
            "fax_number": "270-782-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "30320",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "41761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100043320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.