Individual
PETER J POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
(859) 514-5521
Mailing address
PO BOX 910530, LEXINGTON, KY 40591-0530
(866) 965-3774
(781) 276-6411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03164
KY
207P00000X
Emergency Medicine Physician
M5446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188382902
—
TX
01
—
8AA314
BCBS
TX
01
—
8W1785
BCBS
TX
01
—
P00650256
RAILROAD
TX
Enumeration date
11/20/2006
Last updated
10/07/2025
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