Provider Demographics
NPI:1770841546
Name:COOK, BRYON SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:BRYON
Middle Name:SCOTT
Last Name:COOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:230 LEXINGTON GREEN CIR STE 600
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3326
Mailing Address - Country:US
Mailing Address - Phone:859-971-4695
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:789 EASTERN BYP STE 12
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2400
Practice Address - Country:US
Practice Address - Phone:859-624-1826
Practice Address - Fax:859-624-1744
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2020-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYR2897207R00000X
KYTP460207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine