Southern Kentucky Vascular Clinic PLLC
NPI 1760111553 · Vascular Surgery Physician · Somerset, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Kentucky Vascular Clinic PLLC is a Vascular Surgery Physician organization in Somerset, KY (NPI 1760111553).
Provider details
- NPI number
- 1760111553
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Brown, Physician/Owner(270) 392-9746
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
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
4 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
- 2022-06-07
- Last updated
- 2024-01-26
- Certified
- 2023-12-08
Frequently asked questions
- What is Southern Kentucky Vascular Clinic PLLC's NPI number?
- Southern Kentucky Vascular Clinic PLLC's National Provider Identifier (NPI) is 1760111553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Kentucky Vascular Clinic PLLC?
- Southern Kentucky Vascular Clinic PLLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Kentucky Vascular Clinic PLLC located?
- Southern Kentucky Vascular Clinic PLLC's practice location on file with NPPES is 50 Medpark Square Dr Ste 3, Somerset, KY 42503-1708.
- What is Southern Kentucky Vascular Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Kentucky Vascular Clinic PLLC is (606) 531-4100.
- Does Southern Kentucky Vascular Clinic PLLC accept Medicare?
- Southern Kentucky Vascular Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Kentucky Vascular Clinic PLLC?
- The authorized official listed on Southern Kentucky Vascular Clinic PLLC's NPPES record is Donald Brown, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Kentucky Vascular Clinic PLLC's NPI active?
- Yes — Southern Kentucky Vascular Clinic PLLC's NPI (1760111553) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.