Bluegrass Nephrology, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

37308 Issued in KY

Legal business name

BLUEGRASS NEPHROLOGY, PSC

Practice address

1340 Medical Park Dr
Suite 7
Maysville, KY 41056-8725

Phone

(606) 759-0077

Fax

(606) 759-0111

NPI assigned

Jun 29, 2006

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Barrett, MDNPI 1013955822

Title

Owner

Phone

(606) 759-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Barrett, MD

  • Nephrology Physician
  • Maysville, KY
  • NPI 1013955822

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1942238035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MEDICAL PARK DR",
            "address_2": "SUITE 7",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568725",
            "telephone_number": "606-759-0077",
            "fax_number": "606-759-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MEDICAL PARK DR",
            "address_2": "SUITE 7",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568725",
            "telephone_number": "606-759-0077",
            "fax_number": "606-759-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS NEPHROLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-759-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "37308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bettinger, D.C.
• Tonya R Bickel, APRN, MSN, FNP-C
• Phyllis Raye Biddle, PH.D.
• Ashley Nicole Black, APRN
• Elizabeth Amanda Blevins, PA-C
• Henry Clay Boone, MED
• Regina Borders, MA
• Evan Bothman, CSW
• Susan Boulden, LPCC
• David Allen Bowery, MA

• Nephrology Physician in Maysville, KY
• Providers in Maysville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.