DRS BLACK&BENTON PEDIATRICS NPI 1376943878

NPI Information

  • NPI: 1376943878
  • Provider Name: DRS BLACK&BENTON PEDIATRICS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 44D0669755
  • Address: 4741 N BROADWAY ST STE B
    KNOXVILLE, TN
    ZIP 37918
  • Phone: (865) 687-1940

Map and Directions

Get Directions

NPI Details

DRS BLACK&BENTON PEDIATRICS is a primary care clinic center in Knoxville, TN. DRS BLACK&BENTON PEDIATRICS NPI is 1376943878. The provider is registered as an organization entity type.

The provider's business location address is:

4741 N BROADWAY ST STE B
KNOXVILLE, TN
ZIP 37918-793
Phone: (865) 687-1940
Fax: (865) 687-0157

The provider's authorized official is Donna Kesterson .
The authorized official title is Insurance and has the following contact phone number (865) 687-1940.

The CLIA number assigned to this NPI record is 44D0669755 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.

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
1261QP2300XClinic/CenterPrimary CareMD17837TENNESSEEYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI