Individual provider Active NPI

Buford Hall, P.A.-C.

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1407940026
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA218 Issued in KY
Practice address
1401 Harrodsburg Road
Suite a-540
Lexington, KY 40504
Phone
(859) 258-6760
Fax
(859) 258-6512
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X PA218 KY
Medical Physician Assistant 363AM0700X PA218 KY
Surgical Physician Assistant 363AS0400X PA218 KY
Physician Assistant 363A00000X PA218 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Road
Suite a-540
Lexington, KY 40504

Mailing address

1401 Harrodsburg Road
Suite a-540
Lexington, KY 40504
Phone (859) 258-6760

Other practice location 1

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 260-6348

Other identifiers 7

IdentifierTypeStateIssuer
95002184MedicaidKY
970008315OtherKYRR MEDICARE PIN NO
4000501OtherKYMEDICARE GROUP LAB
36000818OtherKYASC MEDICAID GROUP
ASC1019OtherKYASC MEDICARE GROUP
CB5773OtherKYMEDICARE RR GROUP
37903705OtherKYMEDICAID LAB GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bhall7049@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091224000053 KY Practitioner - Physician Assistant 6204976111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Mar 15, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 15, 2020 Accepting new patients

Locations

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1407940026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG ROAD",
            "address_2": "SUITE A-540",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG ROAD",
            "address_2": "SUITE A-540",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Nicholasville Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031431",
            "country_code": "US",
            "telephone_number": "859-260-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "BUFORD",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "PA218",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA218",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002184",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN NO",
            "identifier": "970008315",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LAB",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC MEDICAID GROUP",
            "identifier": "36000818",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC MEDICARE GROUP",
            "identifier": "ASC1019",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CB5773",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhall7049@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1740 Nicholasville Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.