Organization Active NPI

Bradlee Y. Burtner, LLC

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1861968596
Registry record updated Oct 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRADLEE Y. BURTNER, LLC
Practice address
152 Black Water LN
Lexington, KY 40511-8861
Phone
(859) 608-3440
NPI assigned
Oct 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2018

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

Authorized official

Name
Bradlee BurtnerNPI 1588039168
Title
Owner
Phone
(859) 608-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

152 Black Water LN
Lexington, KY 40511-8861

Mailing address

152 Black Water LN
Lexington, KY 40511-8861
Phone (859) 608-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181211000318 KY Part B Supplier - Clinic/Group Practice 8921342494 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1500 Leestown Rd
Ste 306
Lexington, KY 40511
Phone (859) 285-7875

1500 Leestown Rd
Ste 304
Lexington, KY 40511
Phone (859) 285-7875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539993600000",
    "number": "1861968596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BLACK WATER LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118861",
            "telephone_number": "859-608-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BLACK WATER LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118861",
            "telephone_number": "859-608-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEE Y. BURTNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A",
        "authorized_official_last_name": "BURTNER",
        "authorized_official_first_name": "BRADLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-608-3440"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 20, 2018; 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.