IndividualActive
Brian Mattingly, M.D.
NPI 1669639605 · Diagnostic Radiology Physician · Louisville, KY
Provider details
- NPI number
- 1669639605
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11013730A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
530 S Jackson St # C07
Louisville, KY 40202-1675
Phone: (502) 852-5875
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 909
Louisville, KY 40201-0909
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2020-02-14
- Certified
- 2020-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.