DRS Coffey

Key facts

NPI

1013590306

Entity type

Organization (NPI type 2)

Primary specialty

Addiction Medicine (Internal Medicine) Physician 207RA0401X

Legal business name

DRS COFFEY

Practice address

125 S Cross St
Oneida, TN 37841-2302

Phone

(423) 569-3060

Fax

(423) 569-3059

NPI assigned

May 4, 2021

Organization subpart

No

Authorized official

Name

Dr. Brandon Coffey, DO

Title

Owner

Phone

(423) 569-3060

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Life Choices Wellness Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2021.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1013590306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CROSS ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412302",
            "telephone_number": "423-569-3060",
            "fax_number": "423-569-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CROSS ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412302",
            "telephone_number": "423-569-3060",
            "fax_number": "423-569-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS COFFEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-569-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choices Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, TN

• Wanda Ann Day
• James Wyatt Denzler, RPH
• Discover Health Care of Oneida, PLLC
• Amanda J Dougan
• Tara Mistell Douglas
• DRS Coffey Internal Medicine LLC
• Irene Duck, DMD
• Raelan Duncan, NP
• Anthony Blake Dunlap, PHARM. D.
• Sarah L Dunlap, C.PH.T.

All providers in Oneida, TN · Addiction Medicine (Internal Medicine) Physician in Tennessee