MEDICARE: BRIAN E WARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	28784	KY
2	207ZP0101X	Anatomic Pathology Physician	28784	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578552600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN E WARD MD

Provider Business Mailing Address
First Line	:	PO BOX 148
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-0148
Country	:	US
Telephone Number	:	270-504-1910
Fax Number	:	270-298-3824

Provider Business Practice Location Address
First Line	:	1211 OLD MAIN ST
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-1619
Country	:	US
Telephone Number	:	270-298-7411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	05/01/2024

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Directions to “ BRIAN E WARD MD” Practice Location

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