BOURBON PHYSICIAN PRACTICE LLC
NPI 1790195717
Family Medicine in Paris, KY
About Bourbon Physician Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOURBON PHYSICIAN PRACTICE LLC (NPI 1790195717) is a healthcare organization registered as a family medicine in Paris, Kentucky and active in the NPI registry since April 2014. The organization maintains 2 additional practice locations and lists Monica Bowman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bourbon Physician Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Bourbon Physician Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bourbon Physician Practice LLC's NPI number?
The NPI number for Bourbon Physician Practice LLC is 1790195717. It was assigned to this organization in the NPPES registry on April 29, 2014.
Where is Bourbon Physician Practice LLC located?
Bourbon Physician Practice LLC is located at 9 Linville Dr, Paris, KY 40361. The listed phone number is (859) 987-3600.
What is Bourbon Physician Practice LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bourbon Physician Practice LLC enrolled in Medicare?
Yes. Bourbon Physician Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bourbon Physician Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 11 Medicare specialties reassign their Medicare billing to Bourbon Physician Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (4) and Clinical Social Worker (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bourbon Physician Practice LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Bourbon Physician Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bourbon Physician Practice LLC was last updated on September 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bourbon Physician Practice Llc · NPI 1790195717
Family Medicine organization in Paris, Kentucky. Organization record, active in the CMS NPPES registry since April 29, 2014.
## Identity
- **NPI:** 1790195717 (Entity type: Organization)
- **Enumerated:** April 29, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Monica Bowman, PRESIDENT
## Practice location
- **Address:** 9 LINVILLE DR, Paris, KY 40361-2129
- **Phone:** (859) 987-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (4), Clinical Social Worker (2); 2 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1790195717/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790195717) · Data from the CMS NPPES public registry.