OrganizationActive
Bourbon Physician Practice LLC
NPI 1790195717 · Family Medicine Physician · Paris, KY
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
Practice location
9 Linville Dr
Paris, KY 40361-2129
Phone: (859) 987-3600
Approximate (ZIP-level) locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Additional practice locations (2)
- 18 Clinic DrParis, KY 40361-2161Phone: (859) 987-5090Fax: (859) 987-5006
- 22 Clinic DrParis, KY 40361-2161Phone: (859) 987-0074Fax: (859) 987-0098
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2022-09-24
- Certified
- 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.