NPIMap

Individual provider Active NPI

Bradley James Bilbro, DO

  • Family Medicine Physician
  • Madisonville, KY
National Provider Identifier
1659893337
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04605 Issued in KY
Practice address
1851 N Main St
Madisonville, KY 42431-9024
Phone
(270) 825-7268
NPI assigned
Jul 13, 2017
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04605 KY Primary

Addresses

Primary practice location

1851 N Main St
Madisonville, KY 42431-9024

Mailing address

800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 326-3900

Other practice location 1

800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 326-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbilbro71178@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821002207 KY Practitioner - Family Practice 0941572283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Suite 201
Henderson, KY 42420-2767
Phone (270) 827-8662

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baptist Medical Associates Inc CurrentSince Nov 18, 2019 Accepting new patients
Methodist Health, Inc. CurrentSince Aug 7, 2017 Accepting new patients
Methodist Health, Inc. Family Medicine Current Accepting new patients
Methodist Health, Inc. CurrentSince Aug 7, 2017 Accepting new patients
Deaconess Clinic, Inc Family Medicine Current Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

1413 N Elm St
Ste 201
Henderson, KY 42420
Phone (270) 827-8662

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: bbilbro209556@direct.deaconess.com
  • Direct secure messaging: bbilbro71178@bhkydirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1659893337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311658",
            "telephone_number": "270-326-3900",
            "fax_number": "270-326-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319024",
            "telephone_number": "270-825-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311658",
            "country_code": "US",
            "telephone_number": "270-326-3900",
            "fax_number": "270-326-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILBRO",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbilbro71178@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1851 N Main St",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424319024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.