Organization Active NPI

Body Spectrum Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Lexington, KY
National Provider Identifier
1649469354
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BODY SPECTRUM PLASTIC SURGERY PLLC
Practice address
2414 Greatstone PT
Lexington, KY 40504-3274
Phone
(859) 224-1235
Fax
(859) 224-2382
NPI assigned
Oct 18, 2007
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Bruce Barton, M.D.NPI 1912058132
Title
Owner
Phone
(859) 224-1235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

2414 Greatstone PT
Lexington, KY 40504-3274

Mailing address

2414 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 224-1235

Other identifiers 1

IdentifierTypeStateIssuer
7100395320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000611 KY Part B Supplier - Clinic/Group Practice 4688623143 Receives reassigned benefits from 1 practitioner
Practice locations: Corbin, KY; Richmond, KY; Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Body Spectrum Plastic Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

519 Hampton Way
Richmond, KY 40475

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1649469354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 GREATSTONE PT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043274",
            "telephone_number": "859-224-1235",
            "fax_number": "859-224-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 GREATSTONE PT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043274",
            "telephone_number": "859-224-1235",
            "fax_number": "859-224-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SPECTRUM PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-224-1235",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100395320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.