NPI 1881031680 · live from the CMS NPI Registry
Breckenridge Medical Group, Psc
Psychiatry & Neurology, Neurology in Louisville, KY. National Provider Identifier 1881031680, active.
NPI record
| NPI | 1881031680 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 974 Breckenridge Ln, Suite 133, Louisville, KY 40207 |
| Practice phone | 502-909-3300 |
| Enumerated | June 3, 2013 |
| Last updated | June 3, 2013 |
| Authorized official | Tammy Carpenter, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.