Provider Demographics
NPI:1023638103
Name:OUBRE, JOEL BRYANT (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:BRYANT
Last Name:OUBRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY AND COMMUNICATIVE DISORDER
Mailing Address - Street 2:529 S. JACKSON STREET, THIRD FLOOR
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-561-7268
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF OTOLARYNGOLOGY AND COMMUNICATIVE DISORDER
Practice Address - Street 2:529 S JACKSON ST, THIRD FLOOR
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-561-7268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program