Organization Active NPI

Bluegrass Sports Medicine PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Louisville, KY
National Provider Identifier
1497806905
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
29728 Issued in KY
Legal business name
BLUEGRASS SPORTS MEDICINE PLLC
Practice address
3920 Dutchmans LN
Suite 314
Louisville, KY 40207-4702
Phone
(502) 895-1489
Fax
(502) 895-1261
NPI assigned
Jan 13, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Greg W Rennirt, MD
Title
MD
Phone
(502) 895-1489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 29728 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN
Suite 314
Louisville, KY 40207-4702

Mailing address

3920 Dutchmans LN
Suite 314
Louisville, KY 40207-4702
Phone (502) 895-1489

National Provider Directory

National Provider Directory

Locations

3920 Dutchmans Ln
Ste 314
Louisville, KY 40207
Phone (502) 895-1489

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": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1497806905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "address_2": "SUITE 314",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-895-1489",
            "fax_number": "502-895-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "address_2": "SUITE 314",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-895-1489",
            "fax_number": "502-895-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "RENNIRT",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "502-895-1489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "KY",
            "license": "29728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.