Newcom, Bradly C.

Newcom, Bradly C. is an individual health care provider with primary practice located at 510 Ruby Dr , Madisonville KY 42431-2168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Newcom, Bradly C. can be contacted via phone (270) 399-7900.

Contact Information

Primary practice address
510 Ruby Dr Madisonville KY 42431-2168
Phone: (270) 399-7900
Fax: (270) 399-7910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39210 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 39210 Kentucky

Profile Details

NPI number 1912004649
LBN Legal business name Newcom, Bradly C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated May 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912004649 NPPES
Other 000000362048 BCBS PROVIDER NUMBER
MEDICAID 64098379 BCBS PROVIDER NUMBER
Other 39210 BCBS PROVIDER NUMBER

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