Active NPI
Dubin Orthopedic Centre PSC
Doing business as Brownstone Family Practice
- Nurse Practitioner
- Middlesboro, KY
National Provider Identifier
1649601725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1077003
- Legal business name
- DUBIN ORTHOPEDIC CENTRE PSC
- Doing business as
- Brownstone Family Practice
- Practice address
- 705 N 12TH St Ste 100
Middlesboro, KY 40965-2067 - Phone
- (606) 248-0050
- NPI assigned
- Nov 27, 2013
- Last updated
- Jan 17, 2014
- Organization subpart
- Yes
- Parent organization
- DUBIN ORTHOPEDIC CENTRE PSC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra Shell
- Title
- Administrator
- Phone
- (606) 248-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1077003 | KY | Primary |
Addresses
Primary practice location
705 N 12TH St Ste 100
Middlesboro, KY 40965-2067
Mailing address
705 N 12TH St Ste 100
Middlesboro, KY 40965-2067
Phone (606) 248-0050
Other names 1
- Brownstone Family Practice
National Provider Directory
National Provider Directory- Tax ID family
- Dubin Orthopaedic Centre P
- Part of
- Dubin Orthopaedic Centre P
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Middlesboro, KY
- NPI 1003013871
Locations
705 N 12th St
#25
Middlesboro, KY 40965
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Middlesboro, KY
- NPI 1760478523
-
- Medical Physician Assistant
- Middlesboro, KY
- NPI 1922727601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1649601725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N 12TH ST STE 100",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409652067",
"telephone_number": "606-248-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N 12TH ST STE 100",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409652067",
"telephone_number": "606-248-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUBIN ORTHOPEDIC CENTRE PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DUBIN ORTHOPEDIC CENTRE PSC",
"enumeration_date": "2013-11-27",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "SHELL",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-248-0050",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "1077003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brownstone Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.