Simon Brandon Bactawar, DO
NPI 1184474777ActiveIndividual· Student in an Organized Health Care Education/Training Program· Bowling Green, KY
Student in an Organized Health Care Education/Training Program (DO) in Bowling Green, Kentucky, with an NPI issued in March 2024. Part D covered 15 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1184474777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 25, 2024 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Internal Medicine (KY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 27 30-day fills |
|---|---|
| Total drug cost | $1,218 |
| Generic share | 87% of claims |
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