DAVID LAWRENCE BRABON (NPI# 1235280579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235280579 |
Entity Type | Individual |
Full Name | DAVID LAWRENCE BRABON |
Credential | M.D. |
Practice Address |
140 Newcomb Ave Mount Vernon KY 40456-2728 |
Mailing Address |
Po Box 869 Mount Vernon KY 40456-0869 |
Practice Telephone | 6062564148 |
Mailing Telephone | 6062564148 |
Enumeration Date | 2007-01-15 |
Last Update Date | 2017-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
17410 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | DEA | AB7114666 | 01 |
CHA | 88178 | 01 | |
ANTHEM BC BS | 000000039562 | 01 | |
KY | 64174105 | 05 | |
TAX ID | 61-1350713 | 01 | |
KY | DEPT OF LABOR | 1300124 | 01 |
KY | MEDICAL LICENSE | 17410 | 01 |
KY | RAIL ROAD MEDICARE | 240007115 | 01 |
Street Address |
140 NEWCOMB AVE |
City | MOUNT VERNON |
State | KY |
Zip Code | 40456-2728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649298779 | Michael Kevin Rowe | Emergency Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2006-07-17 |
1225640022 | Jessica Carpenter | Nurse Practitioner | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2020-08-21 |
1669941860 | Brent Hasty | Social Worker | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2018-11-16 |
1851878318 | Megan Taylor Pittman | Nurse Practitioner | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2018-07-26 |
1447770920 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2017-06-26 |
1437680964 | Mary Joenborg | Family Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2017-03-26 |
1659802635 | Angela Richelle Debord Isaacs | Family Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2017-03-22 |
1285080366 | Deana P. Gabbard | Physician Assistant | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2016-05-09 |
1326420969 | Kelsey Ladd | Psychiatry & Neurology | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2015-06-19 |
1003212630 | Brandon Cowan | Emergency Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456 | 2014-11-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700274248 | Angela Joy Silva | Counselor | 20 Lovell Court, Mt Vernon, KY 40456 | 2015-01-07 |
1992128045 | Health Help Inc | Pharmacy | 116 Progress Drive, Mount Vernon, KY 40456 | 2014-01-27 |
1376703017 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 1545 Lake Cumberland Road, Mt Vernon, KY 40456 | 2008-06-16 |
1386803401 | Mt Vernon Partials and Dentures | Denturist | 571 Richmond Street, Mt Vernon, KY 40456 | 2008-06-04 |
1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
1669652210 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 150 Main Street Pharmacy, Mt Vernon, KY 40456 | 2007-11-13 |
1952516197 | Suzann Fenton | Specialist | 4192 Wilderness Rd, Mt. Vernon, KY 40456 | 2007-05-11 |
1659595304 | Rockcastle County Adult Health Care | Clinic/Center | 1260 S. Wilderness Road, Mount Vernon, KY 40456 | 2007-04-12 |
1790909075 | Teresa Blair | Dietitian, Registered | 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 | 2007-04-11 |
1972622066 | Tracy Renee King | Pharmacist | 110 Newcomb Avenue, Mt. Vernon, KY 40456 | 2007-03-28 |
Find all providers in zip 40456 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154353720 | Steven J Clark | Surgery | 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864-2408 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518427335 | Susan Tucker Kornegay | Surgery | 740 S Limestone E101, Lexington, KY 40536-0001 | 2019-03-20 |
1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
1881126563 | Christopher Robert Howell | Surgery | University of Kentucky Chandler Hospital 800 Rose St, Lexington, KY 40536-0001 | 2017-03-31 |
1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
1306813852 | Lesley Wong | Surgery | 740 S Limestone Ky Clinic K454, University of Kentucky - Division of Plastic Surgery, Lexington, KY 40536-0284 | 2006-03-03 |
1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 40456 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.