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DAMON TROY BARTLEY P.A. NPI 1780846428


NPI Information

NPI: 1780846428
Provider Name: DAMON TROY BARTLEY, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
ONE MEDICAL PARK BLVD
SUITE 458W
BRISTOL, TN
ZIP 37620
Phone: (423) 844-4975
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Damon Troy Bartley, P.A. is a surgical physician assistant in Bristol, TN. Damon Troy Bartley, P.A. NPI is 1780846428. 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:

ONE MEDICAL PARK BLVD
SUITE 458W
BRISTOL, TN
ZIP 37620
Phone: (423) 844-4975
Fax: (423) 844-4987

The NPI 1780846428 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 6/25/2008 and was last updated on 4/3/2024.


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
1363A00000XPhysician Assistant10001498AINDIANANo
2363AS0400XPhysician AssistantSurgicalNo
3363AS0400XPhysician AssistantSurgical50-003027OHIONo
4363AS0400XPhysician AssistantSurgical10001498AINDIANANo
5363AS0400XPhysician AssistantSurgical1601TENNESSEEYes

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
11508056MEDICAIDTENNESSEE

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

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.