Individual
BROOKE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 EASTPOINT PKWY STE 410, LOUISVILLE, KY 40223-4154
(502) 253-6625
(502) 253-6629
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
49059
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
R1704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100329620
—
KY
Enumeration date
04/18/2013
Last updated
12/10/2020
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