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CAREBRIDGE MEDICAL GROUP NPI 1124656616


NPI Information

NPI: 1124656616
Provider Name: CAREBRIDGE MEDICAL GROUP

Former Legal Business Name: MAIN STREET MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
926 MAIN ST
NASHVILLE, TN
ZIP 37206
Phone: (615) 436-9060
Get Directions

CAREBRIDGE MEDICAL GROUP is an internal medicine in Nashville, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. 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 3/21/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineYes
4207RG0300XInternal MedicineGeriatric MedicineNo
5207RH0002XInternal MedicineHospice and Palliative MedicineNo
6363L00000XNurse PractitionerNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10131687MEDICAIDIOWA
2422490901MEDICAIDTENNESSEE
3Q056232MEDICAIDTENNESSEE
4108794900MEDICAIDFLORIDA
51124656616MEDICAIDVIRGINIA
61124656616MEDICAIDMINNESOTA
7201337990AMEDICAIDKANSAS
8157006MEDICAIDARIZONA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.