Provider Demographics
NPI:1033147491
Name:BABIN, SCOTT BRIAN (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:BRIAN
Last Name:BABIN
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:PO BOX 11087
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-1087
Mailing Address - Country:US
Mailing Address - Phone:865-584-7376
Mailing Address - Fax:865-540-3856
Practice Address - Street 1:1850 BLUEGRASS AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-1161
Practice Address - Country:US
Practice Address - Phone:865-584-7376
Practice Address - Fax:865-540-3856
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY350692085B0100X, 2085N0904X, 2085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200494020Medicaid
KY64060460Medicaid
KY000000323908OtherBCBS
KY00195004Medicare PIN
KY000000323908OtherBCBS
KY0684426Medicare PIN
KYP00110820Medicare PIN
IN215510EMedicare ID - Type UnspecifiedPERRY CO.RAD.ASSOCIATES
KY0691706Medicare ID - Type UnspecifiedHARDIN CO.IMAGING
KY0913305Medicare ID - Type UnspecifiedPERRY CO. RAD.ASSOC
KY0735774Medicare PIN
H48986Medicare UPIN
KY0943802Medicare PIN
KY0943702Medicare PIN
KY0903604Medicare PIN
KY0518505Medicare ID - Type UnspecifiedSOUTH CENTRAL KY OPEN MRI
KY0691660Medicare PIN
KY64060460Medicaid
KY0716005Medicare ID - Type UnspecifiedCT & OPEN MRI LAGRANGE