Larson, Brough, And Brockman Psc

LBN: Larson, Brough, And Brockman Psc
Larson, Brough, And Brockman Psc is an health care organization with primary practice located at 5109 New Cut Rd , Louisville KY 40214-2745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Larson, Brough, And Brockman Psc can be contacted via phone (502) 361-1197, or through Evans, Dana L via phone (270) 744-9600.

Contact Information

Primary practice address
5109 New Cut Rd Louisville KY 40214-2745
Phone: (502) 361-1197
Fax: (502) 361-0090
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dana L
Phone: (270) 744-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1871543025
LBN Legal business name Larson, Brough, And Brockman Psc
DBA Doing business as
Authorized official Evans, Dana L
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871543025 NPPES
Kentucky MEDICAID 7100106000

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