Organization Active NPI

Bowling Green Internal Medicine and

  • Internal Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1447295852
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOWLING GREEN INTERNAL MEDICINE AND
Practice address
615 7TH Ave
Bowling Green, KY 42101
Phone
(270) 846-4800
Fax
(270) 846-4828
NPI assigned
Jun 19, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Paul A Kniery, MDNPI 1598791071
Title
President
Phone
(270) 846-4800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X
Internal Medicine Physician 207R00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

615 7TH Ave
Bowling Green, KY 42101

Mailing address

PO Box 9880
Bowling Green, KY 42102-9880
Phone (270) 846-4800

Other practice location 1

1701 Ashley Cir
Suite 200
Bowling Green, KY 42104-5805
Phone (270) 846-4800

Other practice location 2

1701 Ashley Cir Ste 200
Bowling Green, KY 42104
Phone (270) 846-4800

Other practice location 3

1701 Ashley Cir Ste 200
Bowling Green, KY 42104
Phone (270) 846-4800

National Provider Directory

National Provider Directory

Locations

1701 Ashley Cir
Ste 200
Bowling Green, KY 42104
Phone (270) 846-4800

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1447295852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9880",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029880",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Ashley Cir",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421045805",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Ashley Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Ashley Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42104",
            "country_code": "US",
            "telephone_number": "270-846-4800",
            "fax_number": "270-846-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOWLING GREEN INTERNAL MEDICINE AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "KNIERY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-846-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.