MARDEN MEDICAL PLLC NPI 1386978062

NPI Information

  • NPI: 1386978062
  • Provider Name: MARDEN MEDICAL, PLLC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Doing Business As: ADVANCED GYNECOLOGY & WELLNESS
  • CLIA Number: 44D2000120
  • Address: 1 MEDICAL PARK BLVD
    SUITE 205E
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 844-5640

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NPI Details

MARDEN MEDICAL, PLLC is a gynecology obstetrics gynecology in Bristol, TN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MARDEN MEDICAL, PLLC NPI is 1386978062. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Gynecology & Wellness.

The provider's business location address is:

1 MEDICAL PARK BLVD
SUITE 205E
BRISTOL, TN
ZIP 37620-430
Phone: (423) 844-5640

The provider's authorized official is David W Marden .
The authorized official title is Doctor and has the following contact phone number (423) 844-5640.

The CLIA number assigned to this NPI record is 44D2000120 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/28/2009 and was last updated on 3/29/2010.

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
1207VG0400XObstetrics & GynecologyGynecologyDO0000001214TENNESSEEYes

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
1103G703019MEDICARE PINTENNESSEE
21386978062MEDICAIDVIRGINIA
31516542MEDICAIDTENNESSEE

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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