Organization Active NPI

Meade Physicians, Inc.

  • Primary Care Clinic/Center
  • Brandenburg, KY
National Provider Identifier
1912919929
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEADE PHYSICIANS, INC.
Practice address
815 Hillcrest Dr
Brandenburg, KY 40108-1415
Phone
(270) 422-4111
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Mrs. Crystal Dawn Webster
Title
Office Manager
Phone
(270) 422-4111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X KY Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 3003595 KY

Addresses

Primary practice location

815 Hillcrest Dr
Brandenburg, KY 40108-1415

Mailing address

815 Hillcrest Dr
Brandenburg, KY 40108-1415
Phone (270) 422-4111

Other names 1

  • Brandenburg Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

815 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-3366

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1912919929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081415",
            "telephone_number": "270-422-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081415",
            "telephone_number": "270-422-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-422-4111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandenburg Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandenburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.