Active NPI
Theodore Bruce Feldmann, M.D.
- Psychiatry Physician
- Louisville, KY
National Provider Identifier
1912979154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23752
- Practice address
- 401 E Chestnut St
Suite 610
Louisville, KY 40202-5700 - Phone
- (502) 588-4450
- Fax
- (502) 588-9539
- NPI assigned
- Feb 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23752 | KY | Primary |
Addresses
Primary practice location
401 E Chestnut St
Suite 610
Louisville, KY 40202-5700
Mailing address
401 E Chestnut St
Suite 600
Louisville, KY 40202-5700
Phone (502) 588-4425
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200080890 | Medicaid | IN | |
| 64237522 | Medicaid | KY | |
| 92833 | Other | KY | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Psychiatric Services, PSC | Psychiatry | Past | Accepting new patients |
| University Psychiatric Foundation, Inc. | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457539140
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1912979154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST",
"address_2": "SUITE 600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025700",
"telephone_number": "502-588-4425",
"fax_number": "502-588-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST",
"address_2": "SUITE 610",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025700",
"telephone_number": "502-588-4450",
"fax_number": "502-588-9539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMANN",
"first_name": "THEODORE",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "23752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200080890",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64237522",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "92833",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.