Larson, Brough, And Brockman Psc
Pediatrics
Larson, Brough, And Brockman Psc is a Louisville, Kentucky based Pediatric center with medical specialization in
General Pediatrics.
It is located at
5109 New Cut Rd, Louisville, Kentucky - 40214-2745. They can be contacted on phone at
502-361-1197 and fax number 502-361-0090.
NPI number (Unique professional ID) for Larson, Brough, And Brockman Psc is
1871543025 which was assigned by NPPES on 10 May, 2006 and it was last updated on 22 Aug, 2011.
Larson, Brough, And Brockman Psc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Larson, Brough, And Brockman Psc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Larson, Brough, And Brockman Psc |
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Business Address:
Larson, Brough, And Brockman Psc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5109 New Cut Rd
Louisville, KY, 40214-2745
United States |
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| Phone Number : | 502-361-1197 |
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| Fax Number : | 502-361-0090 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871543025 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 22 Aug, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Danal Evans |
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| Official Title or Position : | PROVIDER ENROLLMENT SPECIALIST |
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| Phone Number : | 270-744-9600 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larson, Brough, And Brockman Psc are as mentioned. Primary taxonomy code for Larson, Brough, And Brockman Psc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Larson, Brough, And Brockman Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100106000 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9150
Paducah, KY, 42002-9150
United States |
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| Phone Number : | 270-744-9600 |
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| Fax Number : | 270-744-8642 |
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Business Location:
Patients can refer following map for directions to
Larson, Brough, And Brockman Psc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.