Organization Active NPI

Belfry Dorton Clinic Inc

Doing business as Hazard Lung Associates

  • Pulmonary Disease Physician
  • Hazard, KY
National Provider Identifier
1417081027
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
BELFRY DORTON CLINIC INC
Doing business as
Hazard Lung Associates
Practice address
200 Medical Center Dr
Hazard, KY 41701-9466
Phone
(606) 487-8063
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Rafiqul Alam, M.D.NPI 1891766101
Title
Doctor
Phone
(606) 432-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

200 Medical Center Dr
Hazard, KY 41701-9466

Mailing address

172 College St
Pikeville, KY 41501-1786
Phone (606) 432-3231

Other identifiers 1

IdentifierTypeStateIssuer
65932576MedicaidKY

Other names 1

  • Hazard Lung Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000126 KY Part B Supplier - Clinic/Group Practice 6507890910 Receives reassigned benefits from 1 practitioner
Practice locations: Hazard, KY

National Provider Directory

National Provider Directory

Locations

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

200 Medical Center Dr
Ste 3B
Hazard, KY 41701
Phone (606) 487-8063

172 College St
Pikeville, KY 41501

Practitioners & affiliated clinicians

Practitioners 2

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1417081027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 COLLEGE ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011786",
            "telephone_number": "606-432-3231",
            "fax_number": "606-432-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELFRY DORTON CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "RAFIQUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "606-432-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65932576",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazard Lung Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.