RICHARD WARREN BRINKMAN INC (NPI# 1750722880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750722880 |
| Entity Type | Organization |
| Organization Name | RICHARD WARREN BRINKMAN INC |
| Practice Address |
1711 Destiny Ln Suite 118 Bowling Green KY 42104-1066 |
| Practice Telephone | 2707828866 |
| Practice Fax Number | 2707158346 |
| Mailing Telephone | 2707828866 |
| Mailing Fax Number | 2707158346 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | DR. RICHARD WARREN BRINKMAN (OWNER) |
| Authorized Official Telephone | 2707828866 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
38409 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64077696 | 05 |
| Street Address |
1711 DESTINY LN SUITE 118 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397166 | Leslie Ann Hazel | Dentist | 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104-1066 | 2005-12-20 |
| 1881252534 | Freedom Bridge To Recovery Multicare LLC | Clinic/Center | 1711 Destiny Ln, Bowling Green, KY 42104-1066 | 2019-05-29 |
| 1144703273 | Carmen Ralston | Behavior Technician | 1711 Destiny Ln, Bowling Green, KY 42104-1066 | 2018-09-14 |
| 1922581065 | Janice Belcher | Behavior Technician | 1711 Destiny Ln, Bowling Green, KY 42104-1066 | 2018-09-14 |
| 1497056451 | Christina Noel | Behavioral Analyst | 1711 Destiny Ln, Suite 106 and 107, Bowling Green, KY 42104-1066 | 2010-11-08 |
| 1851548218 | Genesis Medical Laser Center, LLC | Clinic/Center | 1711 Destiny Ln, Suite 107, Bowling Green, KY 42104-1066 | 2008-08-27 |
| 1568688869 | Daily Denture & Dental Services | Dentist | 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104-1066 | 2007-04-17 |
| 1497809008 | Deborah Kay Champion | Counselor | 1711 Destiny Ln, Ste. 111, Bowling Green, KY 42104-1066 | 2007-01-22 |
| 1740291152 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 1711 Destiny Ln, Suite 121, Bowling Green, KY 42104-1066 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407945926 | Advanced Laparoscopic Bariatric Surgery Associates | Clinic/Center | 960 W Wooster St, Suite 116, Bowling Green, OH 43402-2644 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
| 1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1285813469 | Chiaki Gauntt Md Pllc | Clinic/Center | 1917 S Highway 53, La Grange, KY 40031-8574 | 2007-10-24 |
| 1477767549 | Karen Eastridge LLC | Clinic/Center | 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 | 2007-05-09 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on RICHARD WARREN BRINKMAN INC.
| 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.