Riverbend Physical Medicine & Rehabilitation, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40170 Issued in KY

Legal business name

RIVERBEND PHYSICAL MEDICINE & REHABILITATION, PLLC

Practice address

1102 Triplett St
Suite 2100
Owensboro, KY 42303-3104

Phone

(270) 926-7320

Fax

(270) 926-7302

NPI assigned

Oct 16, 2006

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tristan Calderone Briones II, MDNPI 1386673010

Title

Owner

Phone

(270) 926-7320

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tristan Calderon Briones II, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Owensboro, KY
  • NPI 1386673010
  Medicare reassignment Authorized official
• Marcia Atherton, APRN FNP-C

  • Family Nurse Practitioner
  • Bowling Green, KY
  • NPI 1003360264
  Medicare reassignment NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1871673996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "SUITE 2100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-7320",
            "fax_number": "270-926-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 TRIPLETT ST",
            "address_2": "SUITE 2100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033104",
            "telephone_number": "270-926-7320",
            "fax_number": "270-926-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND PHYSICAL MEDICINE & REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "CALDERONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-7320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "40170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007708",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "40170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.