CONRAD PEARSON CLINIC PC NPI 1992758882

NPI Information

  • NPI: 1992758882
  • Provider Name: CONRAD PEARSON CLINIC PC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • CLIA Number: 44D2176762
  • Address: 1325 WOLF PARK DR STE 102
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 252-3400

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NPI Details

CONRAD PEARSON CLINIC PC is a multi-specialty clinic center in Germantown, TN. CONRAD PEARSON CLINIC PC NPI is 1992758882. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1325 WOLF PARK DR STE 102
GERMANTOWN, TN
ZIP 38138-759
Phone: (901) 252-3400
Fax: (901) 682-0047

The provider's authorized official is Michael Andrew Granieri .
The authorized official title is President and has the following contact phone number (901) 252-3400.

The CLIA number assigned to this NPI record is 44D2176762 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/26/2025.

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 License Number License State Primary
1208800000XUrologyNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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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