MEDICARE: BRYON SCOTT COOK M.D.

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	207R00000X	Internal Medicine Physician	52622	KY
2	207RI0011X	Interventional Cardiology Physician	52622	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	:	1770841546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYON SCOTT COOK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 936
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40743-0936
Country	:	US
Telephone Number	:	606-330-7835
Fax Number	:	859-276-4429

Provider Business Practice Location Address
First Line	:	1025 SAINT JOSEPH LN
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40741-8345
Country	:	US
Telephone Number	:	606-864-4040
Fax Number	:	606-864-3500

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

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	01/22/2026

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Directions to “ BRYON SCOTT COOK M.D.” Practice Location

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