Individual provider Active NPI

Phillip Bradley Yuhas, D.C.

  • Chiropractor
  • Bardstown, KY
National Provider Identifier
1770633307
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4592 Issued in KY
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

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
623955OtherKYBLUEGRASS NETWORK
1214298OtherKYCHA HEALTH
4592OtherKYSTATE LICENSE
50004019OtherKYPASSPORT
CHOICE CAREOtherKYHUMANA
623955OtherKYACN
85002905MedicaidKY
000000306600OtherKYBLUE CROSS
17864897YUHOtherKYUNITED HEALTHCARE
623955OtherKYTHE MAIL HANDLERS BENEFIT
2445411000OtherKYPASSPORT ADVANTAGE
2445410000OtherKYPASSPORT ADVANTAGE GROUP
7963456OtherKYAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100302000012 KY Practitioner - Chiropractic 4587603949 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4592KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.