NPIMap

Organization Active NPI

TST Medical, P.a.

  • Family Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1053384859
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TST MEDICAL, P.A.
Practice address
510 Balsam Rd
Hendersonville, NC 28792-5703
Phone
(828) 693-4431
Fax
(828) 693-4871
NPI assigned
Feb 10, 2006
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Brandy L Wilson
Title
Practice Manager
Phone
(828) 693-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

510 Balsam Rd
Hendersonville, NC 28792-5703

Mailing address

PO Box 2448
Hendersonville, NC 28793-2448
Phone (828) 693-4431

Other identifiers 1

IdentifierTypeStateIssuer
89013NWMedicaidNC

National Provider Directory

National Provider Directory

Locations

510 Balsam Rd
Hendersonvlle, NC 28792
Phone (828) 693-4431

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1053384859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2448",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287932448",
            "telephone_number": "828-693-4431",
            "fax_number": "828-693-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BALSAM RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925703",
            "telephone_number": "828-693-4431",
            "fax_number": "828-693-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TST MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-693-4431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013NW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.