Active NPI
Optima Healthcare
- Specialist
- Chattanooga, TN
National Provider Identifier
1104022037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 021556
- Legal business name
- OPTIMA HEALTHCARE
- Practice address
- 3475 Brainerd Rd
Chattanooga, TN 37411-3506 - Phone
- (423) 624-7892
- Fax
- (423) 624-8331
- NPI assigned
- Jun 26, 2007
- 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
- Dr. Bernard L Parham Sr, MD
- Title
- Owner
- Phone
- (423) 624-7892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 021556 | TN | Primary |
Addresses
Primary practice location
3475 Brainerd Rd
Chattanooga, TN 37411-3506
Mailing address
515 Airport Rd Ste 101
Chattanooga, TN 37421-3525
Phone (423) 499-5666
National Provider Directory
National Provider DirectoryLocations
515 Airport Rd
Ste 101
Chattanooga, TN 37421
3475 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 265-6706
3475 Brainerd Rd
Ste B
Chattanooga, TN 37411
Phone (423) 624-7892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104022037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 AIRPORT RD STE 101",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213525",
"telephone_number": "423-499-5666",
"fax_number": "423-499-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113506",
"telephone_number": "423-624-7892",
"fax_number": "423-624-8331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARHAM SR",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-624-7892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "021556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.