Bowling Green Neurology and Primary Care LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC

Practice address

523 Park St
Bowling Green, KY 42101-1765

Phone

(270) 393-8418

Fax

(270) 393-8440

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Angela G Clark, APRN

Title

Provider

Phone

(270) 393-8418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1447844014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011765",
            "telephone_number": "270-393-8418",
            "fax_number": "270-393-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011765",
            "telephone_number": "270-393-8418",
            "fax_number": "270-393-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "270-393-8418",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowling Green Health Center LLC
• Bowling Green Health Facilities LP
• Bowling Green Independent Schools
• Bowling Green Internal Medicine and
• Bowling Green Medical Clinic
• Bowling Green Pediatric Dentistry PLLC
• Bowling Green Pediatrics, Incorporated
• Bowling Green Psychiatry
• Bowling Green Warren Co. Community Hospital Dba the Medical Center ER
• Bowling Green Warren County Community Hospital Corp.

• Primary Care Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.