DR. JONATHAN JOSEPH VITALE D.O. NPI 1639461411

NPI Information

  • NPI: 1639461411
  • Provider Name: DR. JONATHAN JOSEPH VITALE, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 109 WESTPARK DR STE 180
    BRENTWOOD, TN
    ZIP 37027
  • Phone: (615) 610-6754

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NPI Details

DR. Jonathan Joseph Vitale, D.O. is a family medicine in Brentwood, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jonathan Joseph Vitale, D.O. NPI is 1639461411. 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:

109 WESTPARK DR STE 180
BRENTWOOD, TN
ZIP 37027-063
Phone: (615) 610-6754

The NPI 1639461411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 10/10/2020.

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
1207Q00000XFamily Medicine272100NEW YORKYes

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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