Provider Demographics
NPI:1982620241
Name:HUNTER, JAMES BERNHART (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BERNHART
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 S. BROADWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-258-4950
Mailing Address - Fax:859-258-4618
Practice Address - Street 1:1225 S. BROADWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504
Practice Address - Country:US
Practice Address - Phone:859-258-4950
Practice Address - Fax:859-258-4618
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14019207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY36000818OtherMEDICAID ASC GRP
KY37903705OtherMEDICAID LAB GRP
KY64140197Medicaid
GACB5773OtherRR MEDICARE GRP
KYASC1019OtherMEDICARE ASC GRP
GA100016237OtherRR MEDICARE PIN
KY4000501OtherMEDICARE LAB GRP
KY36000818OtherMEDICAID ASC GRP
GACB5773OtherRR MEDICARE GRP
KY0624454Medicare ID - Type Unspecified
KY0326311Medicare ID - Type Unspecified
KY0016915Medicare ID - Type Unspecified