Bellefonte Physician Services, Inc.
Organization Active NPI Family Medicine Physician · Grayson, KY
NPI 1710123328 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1710123328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BELLEFONTE PHYSICIAN SERVICES, INC.
- Practice address
- 100 Bellefonte Dr
Grayson, KY 41143-1820 - Phone
- (606) 474-0669
- NPI assigned
- Jan 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Troy Connett
- Title
- Director of Finance
- Phone
- (606) 833-3333
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
100 Bellefonte Dr
Grayson, KY 41143-1820
Mailing address
PO Box 2155
Ashland, KY 41105-2155
Phone (877) 214-4267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000609053 | Other | KY | ANTHEM BCBS |
| DN8303 | Other | KY | RR MEDICARE |
| 7100068100 | Medicaid | KY | |
| 2933295 | Medicaid | OH | |
| 7071800 | Other | KY | AETNA |
Other names
- Bellefonte Primary Care, Grayson
Other providers in Grayson, KY
- Brittany Angel Banks
- Corina Barker
- Katrina Barker
- Macy Bassler
- Taylor Bayes
- Brittney Bellman
- Miranda Beth Binion
- Bio-Medical Applications of Kentucky, Inc.
- Tammy Blair
- Carl E. Blevins
All providers in Grayson, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.