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Bourbon Physician Practice LLC

Rural Health Clinic/Center in Carlisle, KY · enumerated 2013 · authorized official Monica Bowman, President.

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

National Provider Identifier

1356689079

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Registry record

Entity type Organization (Type 2)
Legal business name Bourbon Physician Practice LLC
Other name <Unavail>
Practice address 107 S Broadway St, Carlisle, KY, 40311
Phone (859) 289-4124
Fax (859) 289-4126
Enumeration date Jan 30, 2013
Last updated in NPPES Sep 24, 2022

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Monica Bowman
Title President
Phone (615) 920-7000

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

What type of organization is Bourbon Physician Practice LLC?
Bourbon Physician Practice LLC is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-24.