Individual provider Active NPI

Bracken Clay Lewis, M.D.

  • Internal Medicine Physician
  • Greenville, KY
National Provider Identifier
1851478085
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43687 Issued in KY
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

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100118210MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000747 KY Practitioner - Internal MedicinePractitioner - Emergency Medicine 2062553696 Reassigns benefits to 2 organizations

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, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Oh Muhlenberg LLCGroup PAC ID 2567770324, 8 clinicians
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

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 Home health agency, Central City, KY, CCN 187096
  • Baptist Health Deaconess Health at Home Home health agency, Madisonville, KY, CCN 187013
  • Centerwell Home Health Home health agency, Hopkinsville, KY, CCN 187124
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL29141SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Oh Muhlenberg, LLC Current Accepting new patients
Oh Muhlenberg, LLC CurrentSince Jun 1, 2019 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Jul 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.