Organization Active NPI

Bluegrass Pain Center LLC

  • Orthopedic Chiropractor
  • Lexington, KY
National Provider Identifier
1962569129
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4603 Issued in KY
Legal business name
BLUEGRASS PAIN CENTER LLC
Practice address
252 E High St
Lexington, KY 40507-1422
Phone
(859) 554-5844
Fax
(866) 907-9419
NPI assigned
Jan 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jennifer Brooks, D.C.
Title
Owner
Phone
(859) 554-5844

National Provider Directory

Locations

252 E High St
Lexington, KY 40507
Phone (859) 554-5844

2001 Alverson Dr
Ste 106
Paris, KY 40361
Phone (859) 987-2828

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X 4603 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

252 E High St
Lexington, KY 40507-1422

Mailing address

252 E High St
Lexington, KY 40507-1422
Phone (859) 554-5844

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2013.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1962569129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071422",
            "telephone_number": "859-554-5844",
            "fax_number": "866-907-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071422",
            "telephone_number": "859-554-5844",
            "fax_number": "866-907-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-554-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "KY",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.