M.D. Brendon M. Coughtry, NPI 1669514840
Interventional Pain Medicine Physician in London, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1669514840 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Brendon M. Coughtry |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 100 London Mountain View Dr Fl 1, London, KY, US |
| Provider Mailing Address | Po Box 21890, Belfast, ME, US, 049154115 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Interventional Pain Medicine Physician |
| Classification | |
| Group | |
| License No. | 42072 |
| License State | KY |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3406022 | CIGNA PROVIDER ID NUMBER | 01 | |
| 2950152 | UNITED HEALTHCARE PROVIDER ID NUMBER | 01 | |
| 000001155521 | ANTHEM PIN | 01 | |
| 102719KYIP | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER | 01 |
| 1563218 | KY | WELLCARE OF KY PROVIDER ID NUMBER | 01 |
| 7100051000 | KY | MEDICAID | 05 |
| 9276417 | AETNA PROVIDER ID NUMBER | 01 | |
| CS1815900343 | CARESOURCE PROVIDER ID NUMBER | 01 | |
| 300012018 | IN | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 73 Kingswood Dr, Campbellsville, KY, US |
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