Individual provider Active NPI

Brandy Bromagen Fouch, MD

  • Pediatrics Physician
  • Mt Sterling, KY
National Provider Identifier
1417967753
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39940 Issued in KY
Practice address
401 Commerce Cir
Mt Sterling, KY 40353-7815
Phone
(859) 498-5243
Fax
(859) 498-5396
NPI assigned
Aug 9, 2006
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39940 KY Primary

Addresses

Primary practice location

401 Commerce Cir
Mt Sterling, KY 40353-7815

Mailing address

PO Box 1347
Mt Sterling, KY 40353-5347
Phone (859) 498-5243

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39940KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehead Pediatrics CurrentSince Jan 26, 2022 Accepting new patients
Morehead Pediatrics Pediatrics Current Accepting new patients
Premier Medical Associates CurrentSince Aug 26, 2020 Accepting new patients
Mt Sterling Pediatrics Pediatrics Past Accepting new patients
Mt. Sterling Pediatrics PSC Past Accepting new patients

Locations

130 Newtowne Sq
Morehead, KY 40351
Phone (606) 740-0986

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1417967753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403535347",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE CIR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403537815",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCH",
        "first_name": "BRANDY",
        "middle_name": "BROMAGEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "39940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.