Organization Active NPI

Bill G. Sekulovski, PLLC

  • Family Medicine Physician
  • Brentwood, TN
National Provider Identifier
1013206143
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BILL G. SEKULOVSKI, PLLC
Practice address
104 Eastpark Dr
Suite 102
Brentwood, TN 37027-7535
Phone
(615) 373-5700
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bill Sekulovski
Title
Owner
Phone
(615) 373-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 Eastpark Dr
Suite 102
Brentwood, TN 37027-7535

Mailing address

104 Eastpark Dr
Suite 102
Brentwood, TN 37027-7535
Phone (615) 373-5700

Other identifiers 1

IdentifierTypeStateIssuer
1510225MedicaidTN

National Provider Directory

National Provider Directory

Locations

5016 Spedale Ct
#315
Spring Hill, TN 37174
Phone (615) 972-7090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1013206143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-373-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-373-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL G. SEKULOVSKI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "SEKULOVSKI",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-373-5700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510225",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.