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BRUCE WENDELL RANDOLPH MEDICAL DOCTOR NPI 1538235171


NPI Information

NPI: 1538235171
Provider Name: BRUCE WENDELL RANDOLPH, MEDICAL DOCTOR
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Address:
3960 KNIGHT ARNOLD RD
SUITE 103
MEMPHIS, TN
ZIP 38118
Phone: (901) 547-1911
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Bruce Wendell Randolph, MEDICAL DOCTOR is an occupational medicine preventive medicine in Memphis, TN. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Bruce Wendell Randolph, MEDICAL DOCTOR NPI is 1538235171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3960 KNIGHT ARNOLD RD
SUITE 103
MEMPHIS, TN
ZIP 38118
Phone: (901) 547-1911
Fax: (901) 547-1905

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/8/2007.


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
12083X0100XPreventive MedicineOccupational Medicine10835MISSISSIPPINo
22083X0100XPreventive MedicineOccupational Medicine16897OKLAHOMANo
32083X0100XPreventive MedicineOccupational Medicine27686TENNESSEEYes

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
1B64615MEDICARE UPIN
23818713MEDICARE ID-TYPE UNSPECIFIED

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

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