Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Premium Pediatrics Pllc

Pediatrics Physician in Campbellsville, KY · enumerated 2006 · authorized official Dan Bodeanu, Physician and Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174699359

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Registry record

Entity type Organization (Type 2)

Legal business name Premium Pediatrics Pllc

Practice address 307 E Broadway St, Campbellsville, KY, 42718

Phone (270) 789-4788

Fax (270) 572-4227

Enumeration date Nov 28, 2006

Last updated in NPPES Aug 11, 2008

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Dan Bodeanu

Title Physician and Owner

Phone (270) 789-4788

Other identifiers

Identifier	Type	State	Issuer
64128457	Medicaid	KY	-
50013851	Other	KY	PASSPORT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-11. Verify at npiregistry.cms.hhs.gov.

Where is Premium Pediatrics Pllc located?

The practice location on file with NPPES is in Campbellsville, KY.

Providers at this address

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Dan Bodeanu Pediatrics Physician · Campbellsville, KY NPI 1306948922 Ashley Yates Counselor · Campbellsville, KY NPI 1689380032

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-11.