Lorelie Bermejo Bada, M.D.
Individual provider Active NPI Internal Medicine Physician · New Albany, IN
NPI 1508978628 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508978628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- KY 35144 (KY)
- Practice address
- 811 Northgate Blvd
New Albany, IN 47150-6419 - Phone
- (502) 287-4100
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131218001258 | KY | Order and Referring Only - Internal Medicine |
8224265277 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 35144 | KY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KY 35144 | KY | Yes |
Addresses
Primary practice location
811 Northgate Blvd
New Albany, IN 47150-6419
Mailing address
3901 Zaring Mill CT
Louisville, KY 40241-3035
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All providers in New Albany, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.