Organization Active NPI

Bullitt County Advanced Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Shepherdsville, KY
National Provider Identifier
1447549647
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BULLITT COUNTY ADVANCED PAIN CENTER LLC
Practice address
1451 Highway 44 E
Suite 102
Shepherdsville, KY 40165-5128
Phone
(502) 955-5328
Fax
(502) 543-5039
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Ronald Flynn, DC
Title
Owner
Phone
(502) 955-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1451 Highway 44 E
Suite 102
Shepherdsville, KY 40165-5128

Mailing address

1451 Highway 44 E
Suite 102
Shepherdsville, KY 40165-5128
Phone (502) 955-5328

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.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1447549647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HIGHWAY 44 E",
            "address_2": "SUITE 102",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655128",
            "telephone_number": "502-955-5328",
            "fax_number": "502-543-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HIGHWAY 44 E",
            "address_2": "SUITE 102",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655128",
            "telephone_number": "502-955-5328",
            "fax_number": "502-543-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY ADVANCED PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-955-5328",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.