Provider Demographics
NPI:1295847622
Name:BEMISS, ROBERT BRYAN (ARNP FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:BRYAN
Last Name:BEMISS
Suffix:
Gender:M
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 990
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-0990
Mailing Address - Country:US
Mailing Address - Phone:859-239-2360
Mailing Address - Fax:859-239-6785
Practice Address - Street 1:350 HOSPITAL WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2870
Practice Address - Country:US
Practice Address - Phone:606-451-2671
Practice Address - Fax:606-451-2656
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3509P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1189572OtherCHA HEALTH
KY78005758Medicaid
KY000000615711OtherBC/BS
KY0594460Medicare PIN
KY000000615711OtherBC/BS