NPIMap

Organization Active NPI

Breckinridge Health Inc

Doing business as Irvington Primary Care

  • Family Medicine Physician
  • Irvington, KY
National Provider Identifier
1831990662
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRECKINRIDGE HEALTH INC
Doing business as
Irvington Primary Care
Practice address
13988 E Highway 60
Irvington, KY 40146-7165
Phone
(270) 756-7000
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Ms. Angela Faye Portman
Title
Ceo
Phone
(270) 756-6569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

13988 E Highway 60
Irvington, KY 40146-7165

Mailing address

13988 E Highway 60
Irvington, KY 40146-7165
Phone (270) 756-7000

Other names 1

  • Irvington Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000333 KY Part B Supplier - Clinic/Group Practice 0941106454 Receives reassigned benefits from 32 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hardinsburg, KY; McDaniels, KY; Irvington, KY; Cloverport, KY

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Breckinridge Health Clinic22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

203 Fairgrounds Rd
#C
Hardinsburg, KY 40143
Phone (270) 756-2662

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1831990662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13988 E HIGHWAY 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401467165",
            "telephone_number": "270-756-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13988 E HIGHWAY 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "401467165",
            "telephone_number": "270-756-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKINRIDGE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PORTMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-756-6569",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irvington Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.