THE ENDOSCOPY CENTER OF BRISTOL NPI 1376538876

NPI Information

NPI: 1376538876
Provider Name: THE ENDOSCOPY CENTER OF BRISTOL
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
235 MEDICAL PARK BLVD
BRISTOL, TN
ZIP 37620
Phone: (423) 246-6777
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THE ENDOSCOPY CENTER OF BRISTOL is an ambulatory surgical clinic center in Bristol, TN. THE ENDOSCOPY CENTER OF BRISTOL NPI is 1376538876. The provider is registered as an organization entity type.

The provider's business location address is:

235 MEDICAL PARK BLVD
BRISTOL, TN
ZIP 37620-455
Phone: (423) 246-6777
Fax: (423) 246-7766

The provider's authorized official is Mark Bartley .
The authorized official title is Chief Administrative Officer and has the following contact phone number (423) 246-6777.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 5/4/2009.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0000000114	TENNESSEE	Yes

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
1	004001475	OTHER	TENNESSEE	BCBS OF TN
2	100036168	OTHER	TENNESSEE	PHP TENNCARE
3	3288515	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
4	7603819	MEDICAID	KENTUCKY
5	007603819	MEDICAID	VIRGINIA
6	3288515	MEDICAID	TENNESSEE
7	490005003	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	RAILROAD

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

NPI Synchronization or Removal

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