Brett Alan Oliver, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36063 Issued in KY

Practice address

210 Bevins LN
Ste C
Georgetown, KY 40324-6120

Phone

(502) 868-0622

Fax

(502) 868-9097

NPI assigned

Jun 28, 2005

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment NPD
• Scott County Family Physicians

  • Family Medicine Physician
  • Georgetown, KY
  • NPI 1386632701
  NPD (past) Authorized official
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Georgetown, KY
  • NPI 1972158475
  NPD
• Georgetown Community Hospital LLC

  • Internal Medicine Physician
  • Georgetown, KY
  • NPI 1558570614
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1467458042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEVINS LN",
            "address_2": "STE C",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246127",
            "telephone_number": "502-868-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEVINS LN",
            "address_2": "STE C",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246120",
            "telephone_number": "502-868-0622",
            "fax_number": "502-868-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64019862",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boliver5606@bhkydirect.com",
            "affiliation": "N",
            "address_1": "210 Bevins Ln",
            "address_2": "Ste C",
            "city": "Georgetown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403246120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Richard O'Neill
• Oak Haven Counseling LLC
• Occupational Health Centers of the Southwest P.a. (Concentra - Toyota Onsite)
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Nanita Oldham, LPCC
• Jennifer S. Oliver, M.D.
• Out of the Storm Counseling, LLC
• P C P Specialty LLC
• P&N Behavioral Health
• Christen Guffey Page, PHD, CCC-SLP

• Family Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.