Organization Active NPI

Bullitt County Family Care Center, P.L.L.C.

  • Legal Medicine
  • Shepherdsville, KY
National Provider Identifier
1972568376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
32033 Issued in KY
Legal business name
BULLITT COUNTY FAMILY CARE CENTER, P.L.L.C.
Practice address
1578 Highway 44 E
Suite 2
Shepherdsville, KY 40165-7172
Phone
(502) 955-5200
Fax
(502) 526-5581
NPI assigned
Apr 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charlotte Ingwersen, M.D.NPI 1003810987
Title
President
Phone
(502) 955-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 32033 KY Primary

Addresses

Primary practice location

1578 Highway 44 E
Suite 2
Shepherdsville, KY 40165-7172

Mailing address

PO Box 1169
Shepherdsville, KY 40165-1169
Phone (502) 955-5200

National Provider Directory

National Provider Directory
Tax ID family
Bullitt County Family Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972568376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1169",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401651169",
            "telephone_number": "502-955-5200",
            "fax_number": "502-526-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 HIGHWAY 44 E",
            "address_2": "SUITE 2",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657172",
            "telephone_number": "502-955-5200",
            "fax_number": "502-526-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY FAMILY CARE CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGWERSEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-955-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "32033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.