Basic Information
| Provider Information | |||||||||
| NPI: | 1770841546 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COOK | ||||||||
| FirstName: | BRYON | ||||||||
| MiddleName: | SCOTT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 230 LEXINGTON GREEN CIR STE 600 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405033326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8599714695 | ||||||||
| FaxNumber: | 8599714604 | ||||||||
| Practice Location | |||||||||
| Address1: | 789 EASTERN BYP STE 12 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | KY | ||||||||
| PostalCode: | 404752400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8596241826 | ||||||||
| FaxNumber: | 8596241744 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2012 | ||||||||
| LastUpdateDate: | 12/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | R2897 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0011X | TP460 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.