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

Brent Andrew Ivy Cotter

Individual provider Physician Assistant · NPI 1265016604

Brent Andrew Ivy Cotter is a Physician Assistant in Lexington, Kentucky. Qualified in 2021, 5 years ago. Practices with University of Kentucky, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
Specialties on file
7
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Practice location Address checks out

740 S Limestone
Lexington, KY 40536-0001
Phone: (859) 323-5544
Fax: (859) 257-9288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2842 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC075 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC075 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2842 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC075 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2842 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265016604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2021
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lexington