District 4 Cdo Program

District 4 Cdo Program is a healthcare organization registered as Supports Brokerage Agency in Bowling Green, KY, holding Type 2 (organization) NPI 1255468617 since 2007. The authorized official on file is Ronald Becker, Interim Executive Director.

✓ Active NPI ✓ Valid NPI checksum

NPI	1255468617
Entity type	Organization (Type 2)
Legal business name	District 4 Cdo Program
Other name	<Unavail>
Practice address	177 GRAHAM AVE, Bowling Green, KY, 42101
Phone	2707812381
Fax	2708420768
Enumeration date	2007-02-27
Last updated in NPPES	2020-08-22

Authorized official

Name	Ronald Becker
Title	Interim Executive Director
Phone	2707812381

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
251X00000X	Supports Brokerage Agency	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
4399604000	Medicaid	KY	—

Copy-ready billing details

Provider: District 4 Cdo Program
NPI: 1255468617
Taxonomy: 251X00000X (Supports Brokerage Agency)
Address: 177 GRAHAM AVE, Bowling Green, KY, 42101

Verify this record

Cross-check NPI 1255468617 against the authoritative CMS record: view District 4 Cdo Program on the official NPPES registry .

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 or validate an NPI number.

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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is District 4 Cdo Program located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.