BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC
NPI 1447844014
Nurse Practitioner - Primary Care in Bowling Green, KY

Q: What is Bowling Green Neurology And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since February 24, 2021

523 PARK ST, BOWLING GREEN, KY 42101(270) 393-8418(270) 393-8440 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bowling Green Neurology And Primary Care Llc NPPES

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

BOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC (NPI 1447844014) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since February 2021. The organization lists Angela G Clark, Provider, as its authorized official.

NPPES Registry Identity

NPI1447844014

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameBOWLING GREEN NEUROLOGY AND PRIMARY CARE LLC

Location Address523 PARK STBowling Green, KY 42101-1765

Mailing Address523 Park StBowling Green, KY 42101-1765 · (270) 393-8418 · Fax (270) 393-8440

Phone(270) 393-8418

Fax(270) 393-8440

Organization SubpartNo

Authorized OfficialAngela G ClarkProvider · (270) 393-8418

Enumeration DateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1447844014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

523 PARK ST, Bowling Green, KY 42101

Open in Google Maps ↗

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Tomorrows Woman carries, from the Medicare DMEPOS supplier directory.

Tomorrows Woman

DMEPOS supplier · Bowling Green, KYOperated by Bowling Green Warren County Community Hospital Corporation

✔

Accepts Medicare assignment

Tomorrows Woman agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667281

Medicare Participant SinceOctober 1, 1996

Supplier Location523 Park St Ste 2BBowling Green, KY 42101

Phone(270) 781-5171

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Lymphedema Compression Treatment Items

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

DR. BENJAMIN AARON BANASIEWICZ MD

Obstetrics & Gynecology