# RIVERBEND PHYSICAL MEDICINE & REHABILITATION, PLLC

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

## Provider details

- **NPI number:** 1871673996
- **Authorized official:** DR. TRISTAN CALDERONE BRIONES II MD (OWNER)
- **Authorized official phone:** (270) 926-7320

## Contact information

- **Practice address:** 1102 TRIPLETT ST, SUITE 2100, OWENSBORO, KY 42303-3104
- **Practice address phone:** (270) 926-7320
- **Practice address fax:** (270) 926-7302
- **Mailing address:** 1102 TRIPLETT ST, SUITE 2100, OWENSBORO, KY 42303-3104
- **Mailing address phone:** (270) 926-7320
- **Mailing address fax:** (270) 926-7302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 40170 | KY | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 40170 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 3007708 | KY | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 10/24/2017