Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLACK BEAR PROVIDERS PLLC
NPI 1730088592
Family Medicine in Richmond, KY

Active since November 05, 2026
212 N 2ND ST STE 100, RICHMOND, KY 40475(801) 919-3008 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Black Bear Providers Pllc NPPES

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

BLACK BEAR PROVIDERS PLLC (NPI 1730088592) is a healthcare organization registered as a family medicine in Richmond, Kentucky and active in the NPI registry since November 2026. The organization lists Jonathan Ruby, Physician, as its authorized official.

NPPES Registry Identity

NPI1730088592
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK BEAR PROVIDERS PLLC
Location Address212 N 2ND ST STE 100Richmond, KY 40475-1408
Mailing Address212 N 2nd St Ste 100Richmond, KY 40475-1408
Organization SubpartNo
Authorized OfficialJonathan RubyPhysician · (801) 919-3008
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1730088592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
212 N 2ND ST STE 100, Richmond, KY 40475

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 20

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

Social Worker
212 N 2ND ST STE 100
RICHMOND, KY 40475
Technician, Pathology (Phlebotomy)
212 N 2ND ST STE 100
RICHMOND, KY 40475
Nurse Practitioner (Family)
212 N 2ND ST STE 100
RICHMOND, KY 40475
Community/Behavioral Health
212 N 2ND ST STE 100
RICHMOND, KY 40475
Physical Therapist
212 N 2ND ST STE 100
RICHMOND, KY 40475
Behavior Analyst
212 N 2ND ST STE 100
RICHMOND, KY 40475
Social Worker (Clinical)
212 N 2ND ST STE 100
RICHMOND, KY 40475
Social Worker (Clinical)
212 N 2ND ST STE 100
RICHMOND, KY 40475

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 Black Bear Providers PLLC's NPI number?

The NPI number for Black Bear Providers PLLC is 1730088592. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Black Bear Providers PLLC located?

Black Bear Providers PLLC is located at 212 N 2nd St Ste 100, Richmond, KY 40475. The listed phone number is (801) 919-3008.

What is Black Bear Providers PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Black Bear Providers PLLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.