Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lily Creek Medical Group, Psc

Internal Medicine Physician in Russell Springs, KY · enumerated 2007 · authorized official Robert Bertram, President.

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

National Provider Identifier

1205987542

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Registry record

Entity type Organization (Type 2)

Legal business name Lily Creek Medical Group, Psc

Practice address 92 Joe T Petty Dr, Russell Springs, KY, 42642

Phone (270) 866-8881

Fax (270) 866-8849

Enumeration date Jan 15, 2007

Last updated in NPPES Oct 30, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robert Bertram

Title President

Phone (270) 866-8881

Other identifiers

Identifier	Type	State	Issuer
000000064586	Other	KY	ANTHEM
608475500	Other	KY	BLACK LUNG
65932386	Medicaid	KY	-

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.

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Frequently asked questions

Where is Lily Creek Medical Group, Psc located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-30.