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BLUEGRASS PRIMARY CARE MEDICINE LLC
NPI 1578831848
Specialist in Elizabethtown, KY

Active since December 01, 2011
914 N DIXIE AVE STE 302, ELIZABETHTOWN, KY 42701(270) 769-0892(270) 769-1857 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bluegrass Primary Care Medicine Llc NPPES

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

BLUEGRASS PRIMARY CARE MEDICINE LLC (NPI 1578831848) is a healthcare organization registered as a specialist in Elizabethtown, Kentucky and active in the NPI registry since December 2011. The organization lists Syed R Quadri, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1578831848
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUEGRASS PRIMARY CARE MEDICINE LLC
Location Address914 N DIXIE AVE STE 302Elizabethtown, KY 42701-2515
Mailing Address914 N Dixie Ave Ste 302Elizabethtown, KY 42701-2515 · (270) 769-0892 · Fax (270) 769-1857
Phone(270) 769-0892
Fax(270) 769-1857
Organization SubpartNo
Authorized OfficialSyed R QuadriManaging Member · (270) 769-0892
Enumeration DateDecember 1, 2011
✔ NPI 1578831848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
914 N DIXIE AVE STE 302, Elizabethtown, KY 42701
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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

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 Bluegrass Primary Care Medicine LLC's NPI number?

The NPI number for Bluegrass Primary Care Medicine LLC is 1578831848. It was assigned to this organization in the NPPES registry on December 1, 2011.

Where is Bluegrass Primary Care Medicine LLC located?

Bluegrass Primary Care Medicine LLC is located at 914 N Dixie Ave Ste 302, Elizabethtown, KY 42701. The listed phone number is (270) 769-0892.

What is Bluegrass Primary Care Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bluegrass Primary Care Medicine LLC was last updated on December 1, 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.