MEDICARE: MARVIN A BISHOP 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	207N00000X	Dermatology Physician	35957	KY
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	35957	KY
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35957	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	:	1578533766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVIN A BISHOP MD

Provider Business Mailing Address
First Line	:	PO BOX 432
Second Line	:
City	:	PIKEVILLE
State	:	KY
Zip	:	41502-0432
Country	:	US
Telephone Number	:	606-430-3500
Fax Number	:	606-430-1980

Provider Business Practice Location Address
First Line	:	911 BYPASS RD BLDG A
Second Line	:
City	:	PIKEVILLE
State	:	KY
Zip	:	41501-1602
Country	:	US
Telephone Number	:	606-430-2208
Fax Number	:	606-218-7508

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/10/2026

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Directions to “ MARVIN A BISHOP MD” Practice Location

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