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DR. MILLARD LYNN FOGLEMAN MD
NPI 1790771046
Family Medicine in Beverly, KY

Active since September 22, 2005
53 QUEENDALE CTR, RED BIRD CLINIC, BEVERLY, KY 40913(606) 598-5135(606) 598-8942 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Millard Lynn Fogleman Md NPPES

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

DR. MILLARD LYNN FOGLEMAN MD (NPI 1790771046) is an individual family medicine provider in Beverly, Kentucky, licensed in Kentucky (33564) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1790771046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MILLARD LYNN FOGLEMANCredential: MD
Location Address53 QUEENDALE CTR, RED BIRD CLINICBeverly, KY 40913-9607
Mailing Address53 Queendale Ctr, Red Bird ClinicBeverly, KY 40913-9607 · (606) 598-5135 · Fax (606) 598-8942
Phone(606) 598-5135
Fax(606) 598-8942
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 28, 2011
✔ NPI 1790771046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 33564
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.
53 QUEENDALE CTR, Beverly, KY 40913
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Other Identifiers 3

Medicare UPINA02899
Medicaid64057094KY
Medicare PIN0206127KY

Other Providers at the Same Location NPPES 3

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

MR. BRUCE D. POLLY RPH
Pharmacist
53 QUEENDALE CTR
BEVERLY, KY 40913
Bell County (606) 598-3186
AARON N. FRYE APRN, FNP-BC
Nurse Practitioner (Family)
53 QUEENDALE CTR
BEVERLY, KY 40913
Bell County (606) 598-5135
DR. SHARON KAY GOODWIN FOGLEMAN MD
Family Medicine
53 QUEENDALE CTR, RED BIRD CLINIC
BEVERLY, KY 40913
Bell County (606) 598-5135

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 Millard Fogleman's NPI number?

The NPI number for Millard Fogleman is 1790771046. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Millard Fogleman located?

Millard Fogleman practices at 53 Queendale Ctr Red Bird Clinic, Beverly, KY 40913. The listed phone number is (606) 598-5135.

What is Millard Fogleman'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 Millard Fogleman was last updated on February 28, 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.