# UNIVERSITY FAMILY PRACTICE ASSOC. PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043267503
- **Authorized official:** JAMES O'BRIEN (DEPARTMENT CHAIRMAN)
- **Authorized official phone:** (502) 852-8498

## Contact information

- **Practice address:** 530 S JACKSON ST, LOUISVILLE, KY 40202
- **Practice address phone:** (502) 562-6503
- **Mailing address:** 501 E BROADWAY, STE 290, LOUISVILLE, KY 40202-1785
- **Mailing address phone:** (502) 217-5134
- **Mailing address fax:** (502) 217-5137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 04/04/2008