Buc Independence LLC
Buc Independence LLC is a healthcare organization registered as Urgent Care Clinic/Center in Independence, KY, holding Type 2 (organization) NPI 1417330150 since 2015. The authorized official on file is Robert So, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417330150 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Buc Independence LLC |
| Practice address | 2025 DECLARATION DR, Independence, KY, 41051 |
| Phone | 8593717900 |
| Fax | 8593710489 |
| Enumeration date | 2015-06-30 |
| Last updated in NPPES | 2024-10-04 |
Authorized official
| Name | Robert So |
|---|---|
| Title | Owner |
| Phone | 8594857900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 291U00000X | Clinical Medical Laboratory | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 208D00000X | General Practice Physician | Secondary | — | — |
| 261QU0200X | Urgent Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2274177 | Medicaid | OH | — |
| 7100180440 | Medicaid | KY | — |
| 0152735 | Medicaid | OH | — |
| 7100204520 | Medicaid | KY | — |
| 7100351060 | Medicaid | KY | — |
| 7100408220 | Medicaid | KY | — |
| 0111587 | Medicaid | OH | — |
| 7100399770 | Medicaid | KY | — |
| 64076169 | Medicaid | KY | — |
| 7100423920 | Medicaid | KY | — |
Copy-ready billing details
Provider: Buc Independence LLC NPI: 1417330150 Taxonomy: 261QU0200X (Urgent Care Clinic/Center) Address: 2025 DECLARATION DR, Independence, KY, 41051
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962580258 | Mohammad Tulimat | Individual | Internal Medicine Physician | Independence, KY |
Verify this record
Cross-check NPI 1417330150 against the authoritative CMS record: view Buc Independence LLC 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
What is the NPI number for Buc Independence LLC?
Who is the authorized official for Buc Independence LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-04.