Active NPI
Bill G. Sekulovski, PLLC
- Family Medicine Physician
- Brentwood, TN
National Provider Identifier
1013206143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510225 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.