UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
NPI 1487953311
Pediatrics - Pediatric Gastroenterology in Bowling Green, KY

Active since March 17, 2011
720 2ND ST, STE 102, BOWLING GREEN, KY 42101(502) 852-7670(502) 852-7743 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Pediatric Gastroenterology, Llc NPPES

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

UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC (NPI 1487953311) is a healthcare organization registered as a pediatric gastroenterology in Bowling Green, Kentucky and active in the NPI registry since March 2011. The organization lists Gerard P Rabalais, Chairman, as its authorized official.

NPPES Registry Identity

NPI1487953311
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameUNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Location Address720 2ND ST, STE 102Bowling Green, KY 42101-1778
Mailing AddressPo Box 2469Louisville, KY 40201-2469 · (502) 852-8500 · Fax (502) 852-8556
Fax(502) 852-7743
Organization SubpartNo
Authorized OfficialGerard P RabalaisChairman · (502) 852-8600
Enumeration DateMarch 17, 2011
Last NPPES UpdateApril 5, 2011
NPI 1487953311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X
720 2ND ST, Bowling Green, KY 42101

Other Identifiers 3

Medicaid7100063520KY
Medicare PIN00992KY
Medicaid200945670IN

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

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

Pediatrics (Pediatric Endocrinology)
720 2ND ST, STE 102
BOWLING GREEN, KY 42101

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 University Pediatric Gastroenterology, LLC's NPI number?

The NPI number for University Pediatric Gastroenterology, LLC is 1487953311. It was assigned to this organization in the NPPES registry on March 17, 2011.

Where is University Pediatric Gastroenterology, LLC located?

University Pediatric Gastroenterology, LLC is located at 720 2nd St Ste 102, Bowling Green, KY 42101. The listed phone number is (502) 852-7670.

What is University Pediatric Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for University Pediatric Gastroenterology, LLC was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.