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

Simon Brandon Bactawar, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184474777

Simon Brandon Bactawar, DO is a Student in an Organized Health Care Education/Training Program in Bowling Green, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 796-6540
Fax: (270) 796-6576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184474777
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address250 Park St, Bowling Green, KY 42101-1760

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