Breck Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRECK URGENT CARE

Practice address

205 W US 60
Irvington, KY 40146

Phone

(270) 547-7161

Fax

(270) 547-7163

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Surya Patel, M.D.

Title

Owner

Phone

(270) 547-7161

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1689120529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401460147",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W US 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "40146",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECK URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-547-7161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209844",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breckinridge Health Inc (Irvington Primary Care)
• Tabitha Jeanne Davis, NURSE PRACTITIONER
• Harold W Owens, M.D. (Irvington Medical Center)
• Ashley Nicole Hicks, RN
• Louisa Bridget Malewitz, RN

• Family Medicine Physician in Irvington, KY
• Providers in Irvington, 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 Aug 31, 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.