Organization Active NPI

Bluegrass Breast Imaging PLLC

  • Diagnostic Radiology Physician
  • Lexington, KY
National Provider Identifier
1427075209
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BLUEGRASS BREAST IMAGING PLLC
Practice address
160 N Eagle Creek Dr
Ste 101
Lexington, KY 40509-2121
Phone
(859) 967-5613
Fax
(859) 967-5617
NPI assigned
Jul 16, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Kimberly B Stigers, M.D.NPI 1780605592
Title
Member
Phone
(859) 219-0542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

160 N Eagle Creek Dr
Ste 101
Lexington, KY 40509-2121

Mailing address

1218 S Broadway
Suite 310
Lexington, KY 40504-2759
Phone (859) 219-0542

Other identifiers 1

IdentifierTypeStateIssuer
65937278MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1427075209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S BROADWAY",
            "address_2": "SUITE 310",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042759",
            "telephone_number": "859-219-0542",
            "fax_number": "859-219-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N EAGLE CREEK DR",
            "address_2": "STE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092121",
            "telephone_number": "859-967-5613",
            "fax_number": "859-967-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS BREAST IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "STIGERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-219-0542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937278",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.