BRENT ANDREW IVY COTTER NPI 1265016604

NPI Information

  • NPI: 1265016604
  • Provider Name: BRENT ANDREW IVY COTTER
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 740 S LIMESTONE
    LEXINGTON, KY
    ZIP 40536
  • Phone: (859) 323-5544

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NPI Details

Brent Andrew Ivy Cotter is a physician assistant in Lexington, KY with 5 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Brent Andrew Ivy Cotter NPI is 1265016604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

740 S LIMESTONE
LEXINGTON, KY
ZIP 40536-001
Phone: (859) 323-5544
Fax: (859) 257-9288

The NPI 1265016604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 5/11/2021 and was last updated on 1/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363A00000XPhysician AssistantPA2842KENTUCKYYes
3363A00000XPhysician AssistantTC075KENTUCKYNo
4363AM0700XPhysician AssistantMedicalTC075KENTUCKYNo
5363AM0700XPhysician AssistantMedicalPA2842KENTUCKYNo
6363AS0400XPhysician AssistantSurgicalTC075KENTUCKYNo
7363AS0400XPhysician AssistantSurgicalPA2842KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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