CAREBRIDGE MEDICAL GROUP NPI 1124656616

NPI Information

  • NPI: 1124656616
  • Provider Name: CAREBRIDGE MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: MAIN STREET MEDICAL GROUP
  • Address: 926 MAIN ST
    NASHVILLE, TN
    ZIP 37206
  • Phone: (615) 436-9060

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NPI Details

CAREBRIDGE MEDICAL GROUP is a family medicine in Nashville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAREBRIDGE MEDICAL GROUP NPI is 1124656616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Main Street Medical Group.

The provider's business location address is:

926 MAIN ST
NASHVILLE, TN
ZIP 37206-614
Phone: (615) 436-9060
Fax: (615) 235-9725

The provider's authorized official is Melinda Henderson .
The authorized official title is Cmo and has the following contact phone number (615) 585-1181.

The enumeration date for this NPI number is 3/30/2020 and was last updated on 5/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RH0002XInternal MedicineHospice and Palliative MedicineNo
6363L00000XNurse PractitionerNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q056232MEDICAIDTENNESSEE
2157006MEDICAIDARIZONA
3108794900MEDICAIDFLORIDA
41124656616MEDICAIDMINNESOTA
51124656616MEDICAIDVIRGINIA
6201337990AMEDICAIDKANSAS
7422490901MEDICAIDTENNESSEE
80131687MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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