NPIMap

Organization Active NPI

Brentwood Meadows Physician Group

  • Addiction Psychiatry Physician
  • Newburgh, IN
National Provider Identifier
1639409659
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
BRENTWOOD MEADOWS PHYSICIAN GROUP
Practice address
4488 Roslin Rd.
Newburgh, IN 47630-8539
Phone
(812) 858-7200
Fax
(812) 842-0086
NPI assigned
Jan 14, 2010
Organization subpart
Yes
Parent organization
BRENTWOOD MEADOWS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Patrick T Hammer
Title
President
Phone
(812) 786-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

4488 Roslin Rd.
Newburgh, IN 47630-8539

Mailing address

4488 Roslin Rd.
Newburgh, IN 47630-8539
Phone (812) 858-7200

National Provider Directory

National Provider Directory
Part of
Brentwood Meadows

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1639409659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD.",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308539",
            "telephone_number": "812-858-7200",
            "fax_number": "812-842-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD.",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308539",
            "telephone_number": "812-858-7200",
            "fax_number": "812-842-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD MEADOWS PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENTWOOD MEADOWS LLC",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-786-6621"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.