Bellefonte Physician Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BELLEFONTE PHYSICIAN SERVICES, INC.

Doing business as

Bellefonte Primary Care, Grayson

Practice address

100 Bellefonte Dr
Grayson, KY 41143-1820

Phone

(606) 474-0669

NPI assigned

Jan 2, 2009

Last updated

May 20, 2019By 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

Troy Connett

Title

Director of Finance

Phone

(606) 833-3333

Specialties & licenses 1

Addresses

Other names 1

• Bellefonte Primary Care, Grayson Doing business as

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1710123328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052155",
            "telephone_number": "877-214-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BELLEFONTE DR",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431820",
            "telephone_number": "606-474-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "CONNETT",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "606-833-3333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Primary Care, Grayson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Primary Care, Grayson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Angel Banks
• Corina Barker, LCSW
• Katrina Barker, APRN
• Macy Bassler, PT, DPT, CBS
• Taylor Bayes, RDN, LD
• Brittney Bellman
• Miranda Beth Binion, M.D.
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Grayson)
• Tammy Blair
• Carl E. Blevins, DMD

• Family Medicine Physician in Grayson, KY
• Providers in Grayson, 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 20, 2019; 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.