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

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