WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE – Student Health Clinic/Center, NPI 1790075273

WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE is a healthcare provider. based in Dallas, Texas. specializing in Student Health Clinic/Center. The NPI Number for WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE is 1790075273

Main info

Organization
Name
WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE
NPI
1790075273
Phone
(972) 687-1877
Address
PO BOX 819020
Authorized Official
MR. BILL EDWARDS DIRECTOR OF SPORTS MEDICINE ATC, MA
Enumeration Date
18 April 2011
Last Update Date
18 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE

  • PO BOX 819020

    DALLAS, TX 753819020

    Phone: (972) 687-1877

    Fax: (972) 367-3434

    Type: Mailing

  • 1605 AVENUE OF CHAMPIONS

    RM 128

    BOWLING GREEN, KY 421016412

    Phone: (972) 687-1877

    Fax: (972) 367-3434

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75381)

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Reviews

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Frequently asked questions

How is WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE identified in CMS data?
CMS-hosted NPPES data lists WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE with NPI 1790075273.
Does CMS list WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE as active?
Yes — WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE is active in the NPI listing used on this page.
What taxonomy line describes WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE?
For research purposes, treat WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE as Student Health Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE?
WESTERN KENTUCKY UNIVERSITY SPORTS MEDICINE's geographic hint is Dallas, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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