Premium Pediatrics PLLC
NPI 1174699359 · Pediatrics Physician · Campbellsville, KY
Premium Pediatrics PLLC is a Pediatrics Physician organization in Campbellsville, KY (NPI 1174699359).
Provider details
- NPI number
- 1174699359
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Bodeanu, Physician and Owner(270) 789-4788
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2008-08-11
Frequently asked questions
- What is Premium Pediatrics PLLC's NPI number?
- Premium Pediatrics PLLC's National Provider Identifier (NPI) is 1174699359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Pediatrics PLLC?
- Premium Pediatrics PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Premium Pediatrics PLLC located?
- Premium Pediatrics PLLC's practice location on file with NPPES is 307 E Broadway St, Campbellsville, KY 42718-2003.
- What is Premium Pediatrics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Pediatrics PLLC is (270) 789-4788.
- Who is the authorized official for Premium Pediatrics PLLC?
- The authorized official listed on Premium Pediatrics PLLC's NPPES record is Dan Bodeanu, Physician and Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Pediatrics PLLC's NPI active?
- Yes — Premium Pediatrics PLLC's NPI (1174699359) is active in the NPPES registry as of the last update on 2008-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.