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O'BRYAN FAMILY MEDICINE PLLC
NPI 1235367442
Family Medicine in Paducah, KY

Active since June 25, 2009CLIA 18D1104026 · Waiver
5120 VILLAGE SQUARE DR, SUITE 103, PADUCAH, KY 42001(270) 442-0240 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About O'bryan Family Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

O'BRYAN FAMILY MEDICINE PLLC (NPI 1235367442) is a healthcare organization registered as a family medicine in Paducah, Kentucky and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Joseph M O'bryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1235367442
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameO'BRYAN FAMILY MEDICINE PLLC
Location Address5120 VILLAGE SQUARE DR, SUITE 103Paducah, KY 42001-9060
Mailing AddressPo Box 9150Paducah, KY 42002-9150 · (270) 744-9600 · Fax (270) 744-0834
Phone(270) 442-0240
Organization SubpartNo
Authorized OfficialJoseph M O'bryanOwner · (270) 442-0240
Enumeration DateJune 25, 2009
Last NPPES UpdateDecember 19, 2011
✔ NPI 1235367442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 36713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5120 VILLAGE SQUARE DR, Paducah, KY 42001
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Other Identifiers 2

Medicare PINDP4410KY
Medicare PIN01086KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1104026

O'bryan Family Medicine, PLLC · Paducah, KY
Active · expires Aug 23, 2027
CLIA Number18D1104026
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorDr. Joseph M. O'bryan
Laboratory Phone(270) 442-0240
Laboratory LocationO'bryan Family Medicine, PLLC5120 Village Square Drive Suite 103, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JILL L FLYNN LCSW
Social Worker (Clinical)
5120 VILLAGE SQUARE DR, SUITE 101
PADUCAH, KY 42001
McCracken County (270) 538-0851
MRS. CYNTHIA OWEN LCSW
Social Worker (Clinical)
5120 VILLAGE SQUARE DR, SUITE 101
PADUCAH, KY 42001
McCracken County (270) 538-0851
JOSEPH M O'BRYAN MD
Family Medicine
5120 VILLAGE SQUARE DR, SUITE 103
PADUCAH, KY 42001
McCracken County (270) 442-0240
FLYNN & OWEN COUNSELING SERVICES
Social Worker (Clinical)
5120 VILLAGE SQUARE DR, SUITE 101
PADUCAH, KY 42001
McCracken County (270) 538-0851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is O'bryan Family Medicine PLLC's NPI number?

The NPI number for O'bryan Family Medicine PLLC is 1235367442. It was assigned to this organization in the NPPES registry on June 25, 2009.

Where is O'bryan Family Medicine PLLC located?

O'bryan Family Medicine PLLC is located at 5120 Village Square Dr Suite 103, Paducah, KY 42001. The listed phone number is (270) 442-0240.

What is O'bryan Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does O'bryan Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1104026) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for O'bryan Family Medicine PLLC was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.