Active NPI
Robert Bond Nolan Jr., MD
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1871597781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23114
- Practice address
- 4119 Browns LN
Ste 1
Louisville, KY 40220-1500 - Phone
- (502) 451-9296
- Fax
- (502) 451-9291
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | KY | ||
| Family Medicine Physician | 207Q00000X | 23114 | KY | Primary |
Addresses
Primary practice location
4119 Browns LN
Ste 1
Louisville, KY 40220-1500
Mailing address
4119 Browns LN
Ste 1
Louisville, KY 40220-1500
Phone (502) 451-9296
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-00257 | Other | KY | UNITED HEALTHCARE |
| 6319873 | Other | KY | CIGNA |
| 080195017 | Other | KY | RAILROAD MEDICARE |
| 000000246324 | Other | KY | ANTHEM |
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
- Family Practice
- Education
- University of Louisville School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4119 Browns LN
Suite 1
Louisville, KY 40220-1500
Phone (502) 451-9296
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B. Nolan, Jr., MD, PLLC | Current | Accepting new patients |
Locations
4119 Browns Ln
Ste 1
Louisville, KY 40220
Phone (502) 451-9296
Interoperability endpoints
- rnolan@robertnolan.qrsdm.com
Organizations & group practices 1
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.
-
- Physician Assistant
- Louisville, KY
- NPI 1023153350
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Paducah, KY
- NPI 1780498030
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1871597781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 BROWNS LN",
"address_2": "STE 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201500",
"telephone_number": "502-451-9296",
"fax_number": "502-451-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 BROWNS LN",
"address_2": "STE 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201500",
"telephone_number": "502-451-9296",
"fax_number": "502-451-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "ROBERT",
"middle_name": "BOND",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "23114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-00257",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6319873",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080195017",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000246324",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.