Organization Active NPI

Belmont Medical Group

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1063605707
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BELMONT MEDICAL GROUP
Practice address
4230 Harding Rd
Ste. 530
Nashville, TN 37205-2013
Phone
(615) 297-6006
Fax
(615) 298-6778
NPI assigned
Aug 27, 2007
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. David Heusinkveld, M.D.NPI 1962499582
Title
Managing Partner
Phone
(615) 297-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4230 Harding Rd
Ste. 530
Nashville, TN 37205-2013

Mailing address

4230 Harding Rd
Ste. 530
Nashville, TN 37205-2013
Phone (615) 297-6006

National Provider Directory

National Provider Directory
Tax ID family
Belmont Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1063605707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "STE. 530",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-6006",
            "fax_number": "615-298-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "STE. 530",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-6006",
            "fax_number": "615-298-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "HEUSINKVELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "615-297-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.