DR. GREGORY BRUSSELL (NPI# 1548715758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548715758 |
| Entity Type | Individual |
| Full Name | DR. GREGORY BRUSSELL |
| Credential | DMD |
| Practice Address |
919 Chambers Blvd Bardstown KY 40004-2573 |
| Practice Telephone | 5023486404 |
| Practice Fax Number | 5023486342 |
| Mailing Telephone | 5023486404 |
| Mailing Fax Number | 5023486342 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9847 | KY | Dental Providers |
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
9847 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 169 E Lincoln Trail Blvd, Radcliff, KY 401601253 | 2703515858 |
| Street Address |
919 CHAMBERS BLVD |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340298 | Joshua Dolphus Blackmon | Dentist | 919 Chambers Blvd, Ste A, Bardstown, KY 40004-2573 | 2006-08-30 |
| 1649402900 | Saint Joseph Medical Foundation, Inc | Advanced Practice Midwife | 919 Chambers Blvd, Ste B, Bardstown, KY 40004-2573 | 2009-08-19 |
| 1598970006 | Michael G Walton | Dentist | 919 Chambers Blvd, Suite A, Bardstown, KY 40004-2573 | 2007-05-10 |
| 1598897597 | Diana L Koch | Dentist | 919 Chambers Blvd, Ste A, Bardstown, KY 40004-2573 | 2007-03-12 |
| 1437297348 | Bardstown Dental Care, Pllc | Dentist | 919 Chambers Blvd, Suite A, Bardstown, KY 40004-2573 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003220526 | Richard Allen Jeter | Dentist | 230 Warren Pl, Campbellsville, KY 42718-9618 | 2014-06-12 |
| 1578789533 | William Kelley Cherry | Dentist | 1640 Scottsville Rd, Suite 300, Bowling Green, KY 42104-3245 | 2007-04-18 |
| 1134271919 | Kelly A Arnold | Dentist | 2393 Alumni Dr, Suite 102, Lexington, KY 40517-4285 | 2007-01-18 |
| 1104918945 | Kelly J Dingrando | Dentist | 740 S Limestone A219, Lexington, KY 40536 | 2006-09-29 |
| 1063518553 | Cindy Munoz | Dentist | 428 E New Circle Road, Lexington, KY 40511-2275 | 2006-09-15 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1700829124 | James C Cecil, IIi | Dentist | 275 East Main St, Hs2w-b, Frankfort, KY 40621-0001 | 2006-06-14 |
| 1235113242 | Hopkins County Health Department | Dentist | 412 North Kentucky Ave, Madisonville, KY 42431-0026 | 2005-12-02 |
| 1003890237 | Michael Wayne Hubbard | Dentist | 1109 State St, Bowling Green, KY 42101-2648 | 2005-12-01 |
| 1942740741 | Crossings Clinic Louisville Pllc | Dentist | 3935 Dupont Cir, Suite C, Louisville, KY 40207-4824 | 2017-02-28 |
| Find all providers with the same taxonomy | ||||
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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.