Ron Brisbon Sr.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

1034 N 13TH St
Paducah, KY 42001-7061

Phone

(270) 366-2642

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tonsor Works

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1407565211
  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1790494581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N 13TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017061",
            "telephone_number": "270-366-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 13TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017061",
            "telephone_number": "270-366-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBON",
        "first_name": "RON",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Bridges, RNC
• James Butler Brien III, M.D.
• Jennifer Walton Brien, MD
• William Harry Brigance, M.D.
• Brightmore Home Care of Kentucky, LLC
• Broadway Church of Christ
• Broadway Dental Care
• Broadway Dental Care, PLLC
• Nathan Brockett
• Blair Brockman, APRN

• Prosthetics Case Management in Paducah, KY
• Providers in Paducah, KY by specialty
• Prosthetics Case Management in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.