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DR. KENNETH MICHAEL BIELAK MD ABFP MA MBA NPI 1861459836


NPI Information

NPI: 1861459836
Provider Name: DR. KENNETH MICHAEL BIELAK, MD, ABFP, MA, MBA
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1924 ALCOA HWY
GRADUATE SCHOOL OF MEDICINE 1ST FLOOR
KNOXVILLE, TN
ZIP 37920
Phone: (864) 305-9350
Get Directions

DR. Kenneth Michael Bielak, MD, ABFP, MA, MBA is a family medicine in Knoxville, TN with 38 years of experience. 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. Kenneth Michael Bielak, MD, ABFP, MA, MBA NPI is 1861459836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1986

The provider's business location address is:

1924 ALCOA HWY
GRADUATE SCHOOL OF MEDICINE 1ST FLOOR
KNOXVILLE, TN
ZIP 37920-511
Phone: (864) 305-9350
Fax: (865) 305-8681

The NPI 1861459836 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 4/26/2006 and was last updated on 5/15/2019.


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
1208M00000XHospitalist24731TENNESSEENo
2207Q00000XFamily Medicine024731TENNESSEEYes

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
1110129782OTHERRAILROAD MEDICARE
23373352OTHERTENNESSEEMEDICARE GRP UFP
33023732OTHERTENNESSEEBLUE CROSS/BLUE SHIELD
41689631137OTHERTENNESSEEGRP NPI
53373352OTHERTENNESSEEMEDICAID GRP UFP
63079423MEDICAIDTENNESSEE
75106119OTHERTENNESSEEAETNA
801-41248OTHERTENNESSEEUNITED HEALTH CARE
9100010518OTHERTENNESSEEPHP TENNCARE
105164017OTHERTENNESSEECIGNA
11TN0155OTHERTENNESSEEJOHN DEERE

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.