Brian Osbourne, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9636 Issued in KY

Practice address

919 Chambers Blvd Ste a
Bardstown, KY 40004-2574

Phone

(270) 402-1413

NPI assigned

Jul 16, 2015

Last updated

May 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloomfield Dental Care, PLLC

  • General Practice Dentistry
  • Bloomfield, KY
  • NPI 1437297348
  NPD (past)
• Osbourne Family Dental

  • Dental Clinic/Center
  • Bardstown, KY
  • NPI 1023837804
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1689058869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042573",
            "telephone_number": "502-348-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD STE A",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042574",
            "telephone_number": "270-402-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9636",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Kendall Ohler, CRNA
• John M Oliver, DMD
• Robert Joseph Olliges Sr.
• Lauren Osborne, APRN, FNP-C
• Osbourne Family Dental
• Christy Dawn Owens, OTR/L
• Lida Miller Oxnard, M.D.
• Wesley Anson Page
• Andrea Palmer, ARNP
• Julia Rene Palmer, PA-C

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.