Individual provider Active NPI

Bruce A Scott, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Louisville, KY
National Provider Identifier
1881692317
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
29592 Issued in KY
Practice address
6420 Dutchmans Pkwy
380
Louisville, KY 40205-3372
Phone
(502) 894-8441
Fax
(502) 894-4453
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01041529B IN
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 29592 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy
380
Louisville, KY 40205-3372

Mailing address

6420 Dutchmans Pkwy
380
Louisville, KY 40205-3372
Phone (502) 894-8441

Other identifiers 4

IdentifierTypeStateIssuer
64295926MedicaidKY
000000045446OtherKYANTHEM FACET NUMBER
04006864OtherKYRAIL ROAD MEDICARE
100347690AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100116000002 KY Practitioner - Otolaryngology 7214076389 Reassigns benefits to 1 organization
I20100709000333 IN Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7214076389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Care Centers PLLCGroup PAC ID 2961896832, 11 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Suite 100
Corydon, IN 47112-2173
Phone (502) 897-7300

6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3355
Phone (502) 894-8441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041529BINMDOtolaryngology Physician
29592KYMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care Centers PLLC Otolaryngology CurrentSince Dec 3, 2020 Accepting new patients

Locations

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

301 Gordon Gutmann Blvd
Ste 402
Jeffersonville, IN 47130
Phone (502) 894-8441

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

9850 Von Allmen Ct
Ste 104
Louisville, KY 40241
Phone (502) 894-8441

Interoperability endpoints

  • Direct secure messaging: bscottmd@entcc.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1881692317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01041529B",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "KY",
            "license": "29592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64295926",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACET NUMBER",
            "identifier": "000000045446",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "04006864",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347690A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.