Organization Active NPI

DRS Hornaday, Costel, & Bryant, PLLC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1770602252
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DRS HORNADAY, COSTEL, & BRYANT, PLLC
Practice address
4002 Kresge Way
Suite 100
Louisville, KY 40207-4605
Phone
(502) 897-1121
Fax
(502) 897-1189
NPI assigned
Mar 28, 2007
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Ms. Pamela Diane Evans, R.N.
Title
Practice Manager
Phone
(502) 897-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4002 Kresge Way
Suite 100
Louisville, KY 40207-4605

Mailing address

4002 Kresge Way
Suite 100
Louisville, KY 40207-4605
Phone (502) 897-1121

Other identifiers 1

IdentifierTypeStateIssuer
000000061250OtherKYBLUE CROSS BLUE SHIELD

Other names 1

  • DRS. SCHREIBER, HORNADAY, COSTEL, BRYANT & ABOUD, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000604 KY Part B Supplier - Clinic/Group Practice 4688604010 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0321324DRS Schreiber, Hornaday, Costel, Bryant,4002 Kresge Way, Suite 100, Louisville, KY 40207Provider-performed microscopyDec 3, 2026

National Provider Directory

National Provider Directory

Locations

4002 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-1121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1770602252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 KRESGE WAY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-897-1121",
            "fax_number": "502-897-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 KRESGE WAY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-897-1121",
            "fax_number": "502-897-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS HORNADAY, COSTEL, & BRYANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-897-1121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000061250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS. SCHREIBER, HORNADAY, COSTEL, BRYANT & ABOUD, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DRS. SCHREIBER, HORNADAY, COSTEL, BRYANT & ABOUD, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.