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3951 Bardstown Rd, Springfield, KY 40069-8450 | |
(859) 336-8446 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 3951 Bardstown Rd, Springfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932313830 | NPI | - | NPPES |
2719881000 | Other | KY | PASSPORT ADV. GROUP |
2448139000 | Other | KY | PASSPORT ADVANTAGE PROVID |
50010765 | Other | KY | PASSPORT HLTH GRP# |
50006949 | Other | KY | PASSPORT HLTH PROV# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4174 (Kentucky) | Primary |
Provider Name | Regina P Brockman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881739555 PECOS PAC ID: 0547216202 Enrollment ID: I20111222000284 |
Mailing Address | Practice Location Address |
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Po Box 327, Springfield, KY 40069-0327 Ph: (859) 336-8446 | 3951 Bardstown Rd, Springfield, KY 40069-8450 Ph: (859) 336-8446 |
Delwyn Bruce Loughney, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1113 Lincoln Park Rd, Springfield, KY 40069 Phone: 859-336-7000 Fax: 859-336-9882 | |
Dr. Regina P. Brockman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3951 Bardstown Rd, Springfield, KY 40069 Phone: 859-336-8446 |