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

Brandon Bumbalough

Individual provider Clinical Psychologist · NPI 1497200562

Brandon Bumbalough is a Clinical Psychologist in Hazard, Kentucky. Qualified in 2019, 7 years ago. Practices with Meridian Behavioral Health Inc, a 16-clinician group. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2016

Practice location Address checks out

115 Rockwood Ln
Hazard, KY 41701-9415
Phone: (606) 436-5761
Fax: (606) 436-5797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 168689 (KY)

Record details

NPI number1497200562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2016
Last updated in NPPESAugust 18, 2016
Mailing address115 Rockwood Ln, Hazard, KY 41701-9415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Meridian Behavioral Health Inc — 16 clinicians
Accepts Medicare assignment Not indicated

Other providers in Hazard