| Bradly C Newcom, MD | |
|
510 Ruby Dr, Madisonville, KY 42431-2168 | |
| (270) 399-7900 | |
| (270) 399-7910 |
| Full Name | Bradly C Newcom |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 24 Years |
| Location | 510 Ruby Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912004649 | NPI | - | NPPES |
| 000000362048 | Other | BCBS PROVIDER NUMBER | |
| 64098379 | Medicaid | KY | |
| 39210 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 39210 (Kentucky) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 39210 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | Hospital |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradly C Newcom, MD Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | Bradly C Newcom, MD 510 Ruby Dr, Madisonville, KY 42431-2168 Ph: (270) 399-7900 |
Michele Deann Blair, APRN, NP-C Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr # 6, Madisonville, KY 42431 Phone: 812-477-7246 Fax: 270-554-8987 | |
Jessica Lynn Anglin, NP Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr Fl 6, Madisonville, KY 42431 Phone: 812-477-7246 Fax: 812-477-7240 |