Bluegrass Medical Practitioners Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38913 Issued in KY

Legal business name

BLUEGRASS MEDICAL PRACTITIONERS INC.

Practice address

47 Cavalier Blvd Ste 100
Florence, KY 41042-3970

Phone

(859) 757-4353

Fax

(859) 534-0865

NPI assigned

May 7, 2013

Organization subpart

No

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

Authorized official

Name

Bahar Mittal, MD

Title

President

Phone

(859) 757-4353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1689019440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-757-4353",
            "fax_number": "859-534-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-757-4353",
            "fax_number": "859-534-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MEDICAL PRACTITIONERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-757-4353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Allen Blank, DPT
• Brett Blevins, BCBA
• Sydney Paige Blevins, BA
• Kelsey Renee Block, APRN
• Bluegrass Healthcare Consultants L.L.C. (Florence Medical Pharmacy)
• Bluegrass Physical Therapy & Rehabilitation Inc.
• Allyson R. Blythe, LCSW
• Andrew Michael Board, PHARMD
• Taylor Rae Boehmer, MSN, APRN, FNP-C
• Jessica Bokelman, DO

• Family Medicine Physician in Florence, KY
• Providers in Florence, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.