Gus A. Bynum, M.D., P.S.C.
LBN: Gus A. Bynum, M.D., P.S.C.
Gus A. Bynum, M.D., P.S.C. is an health care organization with primary practice located at 1154 Lexington Rd # A , Georgetown KY 40324-9330. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Gus A. Bynum, M.D., P.S.C. can be contacted via phone (502) 868-0008, or through Bynum, Gus A via phone (502) 868-0008.
Contact Information
Primary practice address
1154 Lexington Rd # A
Georgetown KY 40324-9330
Phone: (502) 868-0008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1538250832 |
|---|---|
| LBN Legal business name | Gus A. Bynum, M.D., P.S.C. |
| DBA Doing business as | |
| Authorized official | Bynum, Gus A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 14th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538250832 | NPPES |
| Kentucky | MEDICAID | 78901105 | |
| Kentucky | MEDICAID | 65904534 |
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