Richard Warren Brinkman Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

38409 Issued in KY

Legal business name

RICHARD WARREN BRINKMAN INC

Practice address

1711 Destiny LN
Suite 118
Bowling Green, KY 42104-1066

Phone

(270) 782-8866

Fax

(270) 715-8346

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Warren Brinkman, MD

Title

Owner

Phone

(270) 782-8866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1750722880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN",
            "address_2": "SUITE 118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-782-8866",
            "fax_number": "270-715-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN",
            "address_2": "SUITE 118",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-782-8866",
            "fax_number": "270-715-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WARREN BRINKMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-782-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "38409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64077696",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Rae Rice, LMFT
• Ashley Leanna Rich, BA
• Madison McKenzie Rich, DPT, PT
• Susan Rich
• Richard a McGahan PSC
• David B Richards, M.D.
• Dadrion Richardson
• Julie Richardson, LPCA
• Paige Arlene Richardson, OTR/L
• Sarah Elise Richardson

• Medical Specialty Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.