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CARLISLE CLINIC
NPI 1356689079
Clinic/Center - Rural Health in Carlisle, KY

Active since January 30, 2013
107 S BROADWAY ST, CARLISLE, KY 40311(859) 289-4124(859) 289-4126 Get Directions Write a Review

NPPES record last updated: September 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlisle Clinic NPPES

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

CARLISLE CLINIC (NPI 1356689079) is a healthcare organization registered as a rural health in Carlisle, Kentucky and active in the NPI registry since January 2013. The organization lists Monica Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1356689079
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOURBON PHYSICIAN PRACTICE LLC
Location Address107 S BROADWAY STCarlisle, KY 40311-1150
Mailing Address107 S Broadway StCarlisle, KY 40311-1150 · (859) 289-4124 · Fax (859) 289-4126
Phone(859) 289-4124
Fax(859) 289-4126
Organization SubpartNo
Authorized OfficialMonica BowmanPresident · (615) 920-7000
Enumeration DateJanuary 30, 2013
Last NPPES UpdateSeptember 24, 2022
NPPES CertifiedSeptember 24, 2022
✔ NPI 1356689079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
107 S BROADWAY ST, Carlisle, KY 40311
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Other Names 1

Doing Business AsCarlisle Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JANET TAMAREN M.D.
Family Medicine
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
JENNIFER BOND APRN
Nurse Practitioner (Family)
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
KELLY BUTLER-VISE PA-C
Physician Assistant
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
CARLISLE CLINIC, PSC
Clinic/Center (Rural Health)
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124

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 Bourbon Physician Practice LLC's NPI number?

The NPI number for Bourbon Physician Practice LLC is 1356689079. It was assigned to this organization in the NPPES registry on January 30, 2013. The provider is doing business as Carlisle Clinic.

Where is Bourbon Physician Practice LLC located?

Bourbon Physician Practice LLC is located at 107 S Broadway St, Carlisle, KY 40311. The listed phone number is (859) 289-4124.

What is Bourbon Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Bourbon Physician Practice LLC was last updated on September 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.