Individual provider Active NPI

Bradley S. King, MD

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1831165588
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38801 Issued in KY
Practice address
1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone
(270) 926-2273
Fax
(270) 684-3212
NPI assigned
Feb 23, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38801 KY Primary

Addresses

Primary practice location

1030A Burlew Blvd
Owensboro, KY 42303-1735

Mailing address

1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone (270) 926-2273

Other practice location 1

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061209000007 KY Practitioner - Family Practice 3476552019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Affiliated Care, PSC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Premier Medical Group, PSC CurrentSince Jul 1, 2021 Accepting new patients
Owensboro Health Medical Group, Inc Family Medicine Past Accepting new patients
BMH Professional Corporation Past Accepting new patients
Owensboro Medical Practice, PLLC PastSince Jul 17, 2006 Accepting new patients

Locations

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

Interoperability endpoints

  • Direct secure messaging: bking9462@direct.owensborohealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1831165588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "270-798-8706",
            "fax_number": "270-956-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.