CLYDE MORRIS PENCE MD NPI 1669458113

NPI Information

NPI: 1669458113
Provider Name: CLYDE MORRIS PENCE, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
512 CROFTON PARK LN
FRANKLIN, TN
ZIP 37069
Phone: (850) 218-3404
Get Directions

Clyde Morris Pence, MD is a nephrology internal medicine in Franklin, TN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Clyde Morris Pence, MD NPI is 1669458113. 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:

512 CROFTON PARK LN
FRANKLIN, TN
ZIP 37069-516
Phone: (850) 218-3404
Fax: (850) 474-8096

The NPI 1669458113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 11/9/2021.

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	207RN0300X	Internal Medicine	Nephrology	ME36307	FLORIDA	No
2	207RN0300X	Internal Medicine	Nephrology	MD0000057227	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	009935449	MEDICAID	ALABAMA
2	065065000	MEDICAID	FLORIDA
3	5904025	OTHER		AETNA
4	17471	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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