COMMONWEALTH BIOMEDICAL RESEARCH LLC NPI 1790920825

NPI Information

  • NPI: 1790920825
  • Provider Name: COMMONWEALTH BIOMEDICAL RESEARCH, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: CROFTON FAMILY MEDICAL CENTER
  • Address: 136 E PRINCETON ST
    CROFTON, KY
    ZIP 42217
  • Phone: (270) 424-8885

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NPI Details

COMMONWEALTH BIOMEDICAL RESEARCH, LLC is a family medicine in Crofton, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMONWEALTH BIOMEDICAL RESEARCH, LLC NPI is 1790920825. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Crofton Family Medical Center.

The provider's business location address is:

136 E PRINCETON ST
CROFTON, KY
ZIP 42217-018
Phone: (270) 424-8885
Fax: (270) 424-5193

The provider's authorized official is Bret A. Wittmer .
The authorized official title is Owner and has the following contact phone number (270) 825-8345.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 8/12/2009.

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
1171100000XAcupuncturistNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17570MEDICARE PINKENTUCKY

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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