1326124645 NPI number — FRANKLIN SURGICAL SPECIALISTS

Table of content: (NPI 1326124645)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326124645 NPI number — FRANKLIN SURGICAL SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN SURGICAL SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326124645
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 440269
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37244-0269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-261-6000
Provider Business Mailing Address Fax Number:
615-261-6052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 COVEY DR
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-5665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-794-8900
Provider Business Practice Location Address Fax Number:
615-794-0038
Provider Enumeration Date:
10/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BURGESS
Authorized Official First Name:
BERNARD
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
615-794-8900

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3704855 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0181875 . This is a "BCBS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com