OrganizationActive
Bluegrass Orthopaedic Group Psc
NPI 1043414873 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Louisville, KY
Provider details
- NPI number
- 1043414873
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Eugene Jacob, President
Practice location
3920 Dutchmans Ln
Suite 314
Louisville, KY 40207-4702
Phone: (502) 895-1489
Fax: (502) 895-1261
Mailing address
3920 Dutchmans Ln
Louisville, KY 40207-4702
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.