Active NPI
Bracken Clay Lewis, M.D.
- Internal Medicine Physician
- Greenville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43687
- Practice address
- 211 S Cherry St
Suite 2
Greenville, KY 42345-1203 - Phone
- (270) 377-1950
- Fax
- (270) 377-1953
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL29141 | SC | |
| Internal Medicine Physician | 207R00000X | 43687 | KY | Primary |
Addresses
Primary practice location
211 S Cherry St
Suite 2
Greenville, KY 42345-1203
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 377-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100118210 | Medicaid | KY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Louisville School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, Inc
Practice addresses (Care Compare)
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
2025 W Everly Brothers Blvd
Powderly, KY 42367-5401
Phone (270) 377-2626
2211 Mayfair Dr
Owensboro, KY 42301-4569
440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8300
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Muhlenberg Community Hospital Hom
- Baptist Health Deaconess Health at Home
- Centerwell Home Health
- Owensboro Health Regional Hospital
- Owensboro Health Muhlenberg Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29141 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Oh Muhlenberg, LLC | Current | Accepting new patients | |
| Oh Muhlenberg, LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Kentucky Emergency Room Physicians Inc | Past | Accepting new patients | |
| New Horizon Family Health Services Inc | Past | Accepting new patients |
Locations
211 S Cherry St
Ste 2
Greenville, KY 42345
Phone (270) 377-1950
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2025 W Everly Brothers Blvd
Ste 2A
Powderly, KY 42367
Phone (270) 377-2590
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Interoperability endpoints
- blewis46667@direct.owensborohealth.org
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Powderly, KY
- NPI 1700194388
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Pulmonary Disease Physician
- Greenville, KY
- NPI 1992001044
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Internal Medicine
-
- Emergency Medicine Physician
- Greenville, KY
- NPI 1720153935
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1629872734
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madisonville, KY
- NPI 1316723836
-
- Home Health Agency
- Hopkinsville, KY
- NPI 1518990258
-
- General Acute Care Hospital
- Greenville, KY
- NPI 1407800436
-
- Home Health Agency
- Greenville, KY
- NPI 1912952599
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1851478085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-377-1950",
"fax_number": "270-377-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S CHERRY ST",
"address_2": "SUITE 2",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451203",
"telephone_number": "270-377-1950",
"fax_number": "270-377-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BRACKEN",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL29141",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "43687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100118210",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.
- 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.