Active NPI
Phillip Bradley Yuhas, D.C.
- Chiropractor
- Bardstown, KY
National Provider Identifier
1770633307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4592
- Practice address
- 1000 E John Rowan Blvd
Suite 106
Bardstown, KY 40004-2060 - Phone
- (502) 331-0900
- Fax
- (502) 331-0937
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4592 | KY | Primary |
Addresses
Primary practice location
1000 E John Rowan Blvd
Suite 106
Bardstown, KY 40004-2060
Mailing address
1000 E John Rowan Blvd
Suite 106
Bardstown, KY 40004-2060
Phone (502) 331-0900
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623955 | Other | KY | BLUEGRASS NETWORK |
| 1214298 | Other | KY | CHA HEALTH |
| 4592 | Other | KY | STATE LICENSE |
| 50004019 | Other | KY | PASSPORT |
| CHOICE CARE | Other | KY | HUMANA |
| 623955 | Other | KY | ACN |
| 85002905 | Medicaid | KY | |
| 000000306600 | Other | KY | BLUE CROSS |
| 17864897YUH | Other | KY | UNITED HEALTHCARE |
| 623955 | Other | KY | THE MAIL HANDLERS BENEFIT |
| 2445411000 | Other | KY | PASSPORT ADVANTAGE |
| 2445410000 | Other | KY | PASSPORT ADVANTAGE GROUP |
| 7963456 | Other | KY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 E John Rowan Blvd
Suite 106
Bardstown, KY 40004-2060
200 E John Rowan Blvd
Suite B
Bardstown, KY 40004-2716
Phone (502) 331-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4592 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Algwydon Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bardstown, KY
- NPI 1396916342
-
- Physical Therapist
- Bardstown, KY
- NPI 1811961840
-
- Chiropractor
- Bardstown, KY
- NPI 1649467432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1770633307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E JOHN ROWAN BLVD",
"address_2": "SUITE 106",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042060",
"telephone_number": "502-331-0900",
"fax_number": "502-331-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E JOHN ROWAN BLVD",
"address_2": "SUITE 106",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042060",
"telephone_number": "502-331-0900",
"fax_number": "502-331-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUHAS",
"first_name": "PHILLIP",
"middle_name": "BRADLEY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS NETWORK",
"identifier": "623955",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "1214298",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4592",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50004019",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "CHOICE CARE",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "623955",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85002905",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000306600",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "17864897YUH",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE MAIL HANDLERS BENEFIT",
"identifier": "623955",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2445411000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE GROUP",
"identifier": "2445410000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7963456",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.