Active NPI
Michael Brian Humble, M.D.
- Internal Medicine Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42900
- Practice address
- 2349 Russellville Rd
Bowling Green, KY 42101-3986 - Phone
- (270) 781-3387
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42900 | KY | Primary |
| Internal Medicine Physician | 207R00000X | 36091 | TN |
Addresses
Primary practice location
2349 Russellville Rd
Bowling Green, KY 42101-3986
Mailing address
891 E 10TH Ave
Bowling Green, KY 42101-2319
Phone (270) 847-9828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100084190 | Medicaid | KY |
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
- Internal Medicine
- Education
- Vanderbilt University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 Wright Ave
Bowling Green, KY 42103-1623
Phone (270) 495-4323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36091 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Spero Health of Kentucky, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Kentucky, PSC | Internal Medicine | Current | Accepting new patients |
Locations
4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000
640 Wright Ave
Bowling Green, KY 42103
Phone (270) 495-4323
106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340
914 N Dixie Ave
Ste 100
Elizabethtown, KY 42701
Phone (270) 266-2391
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
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 and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Danville, KY
- NPI 1982102109
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1053362293
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1912110594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 E 10TH AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012319",
"telephone_number": "270-847-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013986",
"telephone_number": "270-781-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBLE",
"first_name": "MICHAEL",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "42900",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "36091",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100084190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.