Individual provider Active NPI

Brentley Frossard, D.O.

  • Pulmonary Disease Physician
  • Paducah, KY
National Provider Identifier
1508218504
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
05883 Issued in KY
Practice address
546 Lone Oak Rd
Paducah, KY 42003-4526
Phone
(270) 442-3647
Fax
(270) 442-3777
NPI assigned
Jul 1, 2016
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 05883 KY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 05883 KY

Addresses

Primary practice location

546 Lone Oak Rd
Paducah, KY 42003-4526

Mailing address

546 Lone Oak Rd
Paducah, KY 42003-4526
Phone (270) 442-3647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180531002419 MS Practitioner - Emergency Medicine 9436414000 Reassigns benefits to 2 organizations
I20240718003231 KY Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9436414000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7000

546 Lone Oak Rd
Paducah, KY 42003-4526
Phone (270) 442-3647

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Jun 21, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Aug 1, 2019 Accepting new patients
Correct Care, Inc. CurrentSince May 21, 2018 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Aug 1, 2019 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 21, 2024 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

546 Lone Oak Rd
Paducah, KY 42003
Phone (270) 441-4777

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1508218504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034526",
            "telephone_number": "270-442-3647",
            "fax_number": "270-442-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034526",
            "telephone_number": "270-442-3647",
            "fax_number": "270-442-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROSSARD",
        "first_name": "BRENTLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "05883",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "05883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.