Bourbon Physician Practice LLC
NPI 1790195717 · Family Medicine Physician · Paris, KY
Bourbon Physician Practice LLC is a Family Medicine Physician organization in Paris, KY (NPI 1790195717).
Provider details
- NPI number
- 1790195717
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monica Bowman, President(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 22 Clinic DrParis, KY 40361-2161Phone: (859) 987-0074Fax: (859) 987-0098
- 18 Clinic DrParis, KY 40361-2161Phone: (859) 987-5090Fax: (859) 987-5006
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2022-09-24
- Certified
- 2022-09-24
Frequently asked questions
- What is Bourbon Physician Practice LLC's NPI number?
- Bourbon Physician Practice LLC's National Provider Identifier (NPI) is 1790195717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bourbon Physician Practice LLC?
- Bourbon Physician Practice LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bourbon Physician Practice LLC located?
- Bourbon Physician Practice LLC's practice location on file with NPPES is 9 Linville Dr, Paris, KY 40361-2129.
- What is Bourbon Physician Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Bourbon Physician Practice LLC is (859) 987-3600.
- Who is the authorized official for Bourbon Physician Practice LLC?
- The authorized official listed on Bourbon Physician Practice LLC's NPPES record is Monica Bowman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bourbon Physician Practice LLC's NPI active?
- Yes — Bourbon Physician Practice LLC's NPI (1790195717) is active in the NPPES registry as of the last update on 2022-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.