Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pearl Medical Practice PLLC

Organization Primary Care Clinic/Center · NPI 1669841631

Pearl Medical Practice PLLC is a Primary Care Clinic/Center in Louisville, Kentucky. Works from 3 locations. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2202 Buechel Ave Ste 105
Louisville, KY 40218-2672
Phone: (502) 456-0494
Fax: (502) 456-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2902 Bardstown Rd Ste D, Louisville, KY 40205-3066 — (502) 456-0494
  • 6512 Baum Dr, Knoxville, TN 37919-7342 — (502) 456-0494

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1669841631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osawaru Omoruyi — Owner · (502) 456-0494
NPI enumeratedSeptember 21, 2015
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing addressPo Box 35294, Louisville, KY 40232-5294

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