BRANDON BUMBALOUGH
NPI 1497200562
Psychologist - Clinical in Hazard, KY

Q: What is Brandon Bumbalough's NPI number?

The NPI number for Brandon Bumbalough is 1497200562. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Q: What is Brandon Bumbalough's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 18, 2016PECOS Enrolled

115 ROCKWOOD LN, HAZARD, KY 41701(606) 436-5761(606) 436-5797 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brandon Bumbalough NPPES

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

BRANDON BUMBALOUGH (NPI 1497200562) is an individual clinical provider in Hazard, Kentucky, licensed in Kentucky (168689) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497200562

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBRANDON BUMBALOUGH

Location Address115 ROCKWOOD LNHazard, KY 41701-9415

Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (606) 436-5761 · Fax (606) 436-5797

Phone(606) 436-5761

Fax(606) 436-5797

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 18, 2016

✔ NPI 1497200562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KY · 168689

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

115 ROCKWOOD LN, Hazard, KY 41701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Bumbalough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719321843

PECOS Enrollment IDI20240216002645

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

PAMELA SORRELL

Counselor