Bluegrass Neurology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

23966 Issued in KY

Legal business name

BLUEGRASS NEUROLOGY, PLLC

Practice address

1169 Eastern Pkwy
Suite 1226
Louisville, KY 40217-1417

Phone

(502) 454-5044

Fax

(502) 452-9549

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rukmaiah Bhupalam, MD

Title

Physician

Phone

(502) 454-5044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Peyton Powell, APRN

  • Acute Care Nurse Practitioner
  • Louisville, KY
  • NPI 1457534000
  NPD (past)
• Kanhaiyalal Tapishankar Trivedi, MD

  • Neurology Physician
  • Gloucester, VA
  • NPI 1538120233
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1639275191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "SUITE 1226",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-454-5044",
            "fax_number": "502-452-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "SUITE 1226",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-454-5044",
            "fax_number": "502-452-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BHUPALAM",
        "authorized_official_first_name": "RUKMAIAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-454-5044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "23966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64239668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Counseling Associates
• Bluegrass Dental Anesthesia, LLC
• Bluegrass Diagnostic Imaging LLC
• Bluegrass Doulas
• Bluegrass Kidney Consultants PSC
• Bluegrass Orthopaedic Group PSC
• Bluegrass Oxygen Inc (Bluegrass Oxygen)
• Bluegrass Pain Consultants PLLC
• Bluegrass Pain Consultants PLLC
• Bluegrass Peer Supports

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.