Active NPI
Bradly C. Newcom, M.D.
- Pain Medicine Physician
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 39210
- Practice address
- 510 Ruby Dr
Madisonville, KY 42431-2168 - Phone
- (270) 399-7900
- Fax
- (270) 399-7910
- NPI assigned
- Sep 17, 2006
- Last updated
- May 3, 2019
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 39210 | KY | |
| Pain Medicine Physician | 208VP0000X | 39210 | KY | Primary |
Addresses
Primary practice location
510 Ruby Dr
Madisonville, KY 42431-2168
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39210 | Other | KY | LICENSE |
| 000000362048 | Other | BCBS PROVIDER NUMBER | |
| 64098379 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bnewcom41501@direct.owensborohealth.org | ||
| Direct Messaging Address | bnewcom41501@direct.owensborohealth.org |
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
- Anesthesiology
- Education
- University of Kentucky College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2211 Mayfair Dr
Owensboro, KY 42301-4569
440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39210 | KY | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Interoperability endpoints
- bnewcom41501@direct.owensborohealth.org
Organizations & group practices 4
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Owensboro, KY
- NPI 1518326990
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Muhlenberg Community Hospital
- General Acute Care Hospital
- Greenville, KY
- NPI 1407800436
-
dba Owensboro Health Muhlenberg Community Hospital Coal Miners' Respirator
- Pulmonary Disease Physician
- Greenville, KY
- NPI 1992001044
Hospital
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1912004649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 RUBY DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312168",
"telephone_number": "270-399-7900",
"fax_number": "270-399-7910"
}
],
"practiceLocations": [
{
"address_1": "200 Clinic Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311661",
"country_code": "US",
"telephone_number": "270-825-7330",
"fax_number": "270-825-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWCOM",
"first_name": "BRADLY",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "39210",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "39210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "39210",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000362048",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64098379",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bnewcom41501@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "200 Clinic Dr",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424311661",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bnewcom41501@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "510 Ruby Dr",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424312168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.