National Provider Identifier Database

BRENDON M COUGHTRY, MD – NPI #1669514840
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Contact Information

BRENDON M COUGHTRY, MD
99 WELLPARK LANE
STE 4
CAMPBELLSVILLE, KY  42718-4919
Phone: 606-260-8613
Fax: 859-977-2683
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for BRENDON M COUGHTRY

NPI Number 1669514840
Credentials MD
Entity Individual
Enumeration date 02/13/2007
Last updated 01/30/2026 - About 4 months ago
Sole proprietor1 No
Identifiers
  • KY License #: 42072
  • IN Medicaid: 300012018
  • KY Medicaid: 7100051000
  • VA Medicaid: 30015488600001
  • WV Medicaid: 1669514840
  • Other: 9276417 AETNA PROVIDER ID NUMBER
  • Other: 000001155521 ANTHEM PIN
  • Other: CS1815900343 CARESOURCE PROVIDER ID NUMBER
  • Other: 3406022 CIGNA PROVIDER ID NUMBER
  • Other: 2950152 UNITED HEALTHCARE PROVIDER ID NUMBER
  • KY Other: 102719KYIP AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
  • KY Other: 1563218 WELLCARE OF KY PROVIDER ID NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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