BISE PLLC NPI 1871724708

NPI Information

NPI: 1871724708
Provider Name: BISE, PLLC
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
:
CLIA Number: 44D2132778
Address: 114 BELLAMY AVENUE
SURGOINSVILLE, TN
ZIP 37873
Phone: (423) 345-0333

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NPI Details

BISE, PLLC is a health service clinic center in Surgoinsville, TN. BISE, PLLC NPI is 1871724708. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

114 BELLAMY AVENUE
SURGOINSVILLE, TN
ZIP 37873
Phone: (423) 345-0333
Fax: (423) 345-0336

The provider's authorized official is Beth A Bryan .
The authorized official title is Owner/pharmacist and has the following contact phone number (423) 345-0333.

The CLIA number assigned to this NPI record is 44D2132778 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2009 and was last updated on 3/24/2025.

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	Primary
1	207Q00000X	Family Medicine		No
2	261QH0100X	Clinic/Center	Health Service	Yes
3	261QP2300X	Clinic/Center	Primary Care	No

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	Q045913	MEDICAID	TENNESSEE
2	4442694	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

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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