Lily Creek Medical Group, Psc
NPI 1205987542 · Internal Medicine Physician · Russell Springs, KY
Lily Creek Medical Group, Psc is a Internal Medicine Physician organization in Russell Springs, KY (NPI 1205987542).
Provider details
- NPI number
- 1205987542
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Bertram, President(270) 866-8881
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
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
- 2007-01-15
- Last updated
- 2008-10-30
Frequently asked questions
- What is Lily Creek Medical Group, Psc's NPI number?
- Lily Creek Medical Group, Psc's National Provider Identifier (NPI) is 1205987542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lily Creek Medical Group, Psc?
- Lily Creek Medical Group, Psc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lily Creek Medical Group, Psc located?
- Lily Creek Medical Group, Psc's practice location on file with NPPES is 92 Joe T Petty Dr, Russell Springs, KY 42642-8543.
- What is Lily Creek Medical Group, Psc's phone number?
- The practice phone number listed in the NPPES registry for Lily Creek Medical Group, Psc is (270) 866-8881.
- Who is the authorized official for Lily Creek Medical Group, Psc?
- The authorized official listed on Lily Creek Medical Group, Psc's NPPES record is Robert Bertram, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lily Creek Medical Group, Psc's NPI active?
- Yes — Lily Creek Medical Group, Psc's NPI (1205987542) is active in the NPPES registry as of the last update on 2008-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.