Owensboro Family Medicine PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OWENSBORO FAMILY MEDICINE PSC

Practice address

1325 Triplett St
Owensboro, KY 42303

Phone

(270) 686-8500

Fax

(270) 685-5467

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bill J Bryant, MD

Title

Owner President

Phone

(270) 686-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Owensboro Family Medicine, PSC

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1881879542
  NPPES parent name

Practitioners 1

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

• Gary D Mayfield, PA-C

  • Physician Assistant
  • Owensboro, KY
  • NPI 1952300253
  NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1902905987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-686-8500",
            "fax_number": "270-685-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO FAMILY MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "270-686-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65922197",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owensboro Dermatology Associates
• Owensboro Dermatology Associates, PSC (Henderson Dermatology)
• Owensboro Endodontics, PSC
• Owensboro Eyecare Center PLLC
• Owensboro Family Eye Care Center PSC
• Owensboro Family Medicine, PSC
• Owensboro Habilitation Services
• Owensboro Habilitation Services, LLC
• Owensboro Health Facilities LP (Twin Rivers Nursing and Rehabilitation Center)
• Owensboro Health Inc (Owensboro Health Outpatient Therapy)

• Family Medicine Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.