OrganizationActive
Supportive Med
NPI 1740077163 · Family Medicine Physician · Russell, KY
Supportive Med is a Family Medicine Physician organization in Russell, KY (NPI 1740077163).
Provider details
- NPI number
- 1740077163
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Levine, Owner(760) 636-8428
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1619 Diederich Blvd Ste B
Russell, KY 41169-1779
Phone: (606) 324-0334
Street-level locationGet directions
Mailing address
250 Colvin Ln
Raceland, KY 41169-1286
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Frequently asked questions
- What is Supportive Med's NPI number?
- Supportive Med's National Provider Identifier (NPI) is 1740077163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supportive Med?
- Supportive Med is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Supportive Med located?
- Supportive Med's practice location on file with NPPES is 1619 Diederich Blvd Ste B, Russell, KY 41169-1779.
- What is Supportive Med's phone number?
- The practice phone number listed in the NPPES registry for Supportive Med is (606) 324-0334.
- Who is the authorized official for Supportive Med?
- The authorized official listed on Supportive Med's NPPES record is Robert Levine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supportive Med's NPI active?
- Yes — Supportive Med's NPI (1740077163) is active in the NPPES registry as of the last update on 2025-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.