Active NPI
Brandon Nelson Conrad, M.D.
- Internal Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47034
- Practice address
- 168 E Reynolds Rd Ste 110
Lexington, KY 40517-1242 - Phone
- (859) 494-9072
- Fax
- (859) 269-0948
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47034 | KY | Primary |
Addresses
Primary practice location
168 E Reynolds Rd Ste 110
Lexington, KY 40517-1242
Mailing address
1152 Iron Lace CT
Lexington, KY 40509-2343
Phone (859) 494-9072
Other practice location 1
1448 Diederich Blvd
Russell, KY 41169-1719
Phone (606) 371-2369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000752 | KY | Practitioner - Internal Medicine | 6608094263 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Urgent Care LLC | Current | Accepting new patients | |
| Bluegrass Urgent Care LLC | Current | Accepting new patients | |
| Buc Newport LLC | Current | Accepting new patients | |
| Buc Independence LLC | Current | Accepting new patients | |
| Supportive Med | Past | Accepting new patients |
Locations
401 E 20th St
Covington, KY 41014
Phone (859) 283-6600
2327 Buttermilk Xing
Crescent Springs, KY 41017
Phone (859) 344-7900
2025 Declaration Dr
Independence, KY 41051
Phone (859) 363-3330
625 Chestnut Dr
Ste 106
Walton, KY 41094
Phone (859) 485-7900
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Independence, KY
- NPI 1508000951
-
- Family Medicine Physician
- Russell, KY
- NPI 1740077163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1841428059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 IRON LACE CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092343",
"telephone_number": "859-494-9072",
"fax_number": "859-269-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 E REYNOLDS RD STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171242",
"telephone_number": "859-494-9072",
"fax_number": "859-269-0948"
}
],
"practiceLocations": [
{
"address_1": "1448 Diederich Blvd",
"address_purpose": "LOCATION",
"city": "Russell",
"state": "KY",
"postal_code": "411691719",
"country_code": "US",
"telephone_number": "606-371-2369",
"fax_number": "606-324-0447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONRAD",
"first_name": "BRANDON",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2023-06-26",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "47034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.