Gregory J. Potts
Family Doctor - Sports Medicine
9420 Brownsboro Rd
Louisville
, Kentucky 40241-1118
Gregory J. Potts
Family Doctor - Sports Medicine
9420 Brownsboro Rd
Louisville
, Kentucky 40241-1118
(502) 253-1037
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Gregory J. Potts
- Po Box 950248
- Louisville, KY
- Zip : 40295-0248
- Fax : (502) 253-1037
- Phone : (502) 253-1035
Second Address
- Gregory J. Potts
- 9420 Brownsboro Rd
- Louisville, KY
- Zip : 40241-1118
- Fax : (502) 426-4221
- Phone : (502) 426-4264
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 30295 | KY |
National Provider Identifier
| NPI | 1336182450 |
|---|---|
| Provider Name | Gregory J. Potts |
| First Address | Louisville, KY 40295-0248 |
| Second Address | Louisville, KY 40241-1118 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 25/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000052203 | ANTHEM BCBS (01) | KY |
| F77342 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.