BRENDON M. COUGHTRY (NPI# 1669514840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669514840 |
| Entity Type | Individual |
| Full Name | BRENDON M. COUGHTRY |
| Credential | M.D. |
| Practice Address |
231 Hibbard St Pikeville KY 41501-4777 |
| Mailing Address |
P.o. Box 2917 Pikeville KY 41520-2917 |
| Practice Telephone | 6062185105 |
| Mailing Telephone | 6062183500 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
42072 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CARESOURCE ID | CS1815900343 | 01 | |
| ANTHEM PIN | 000001155521 | 01 | |
| AETNA PIN | 9276417 | 01 | |
| IN | 300012018 | 05 | |
| KY | 7100051000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 London Mountain View Dr Fl 1, London, KY 407416668 | 8592755229 | 8599772683 |
| 101 Prosperous Pl Ste 300, Lexington, KY 405091836 | 8592755229 | 8599772683 |
| Street Address |
231 HIBBARD ST |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972546950 | Robin Sanger | Registered Nurse | 231 Hibbard St, Pikeville, KY 41501-4777 | 2006-06-14 |
| 1275134975 | Joshua Lee Shafer | Pharmacist | 231 Hibbard St, Pikeville, KY 41501-4777 | 2020-11-08 |
| 1932233830 | Julie R. Clemons | Physician Assistant | 231 Hibbard St, Pikeville, KY 41501-4777 | 2007-03-15 |
| 1881738169 | Amy K. Bolling | Nurse Practitioner | 231 Hibbard St, Pikeville, KY 41501-4777 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992805410 | Sai P Gutti | Pain Medicine | 515 N Bypass Rd, Suite 101, Pikeville, KY 41501-1331 | 2006-09-24 |
| 1366963282 | Interventional Pain Consultants, Pllc | Pain Medicine | 515 N Bypass Rd, Pikeville, KY 41501-1331 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
| 1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
| 1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
| 1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRENDON M. COUGHTRY.
| 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.