Active NPI
Sierra Gould Bishop, MD
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
National Provider Identifier
1104407428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 920 Madison Ave Ste 447
Memphis, TN 38103-3438 - Phone
- (901) 448-4795
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TN | Primary |
Addresses
Primary practice location
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Mailing address
853 Jefferson Ave Ste E102
Memphis, TN 38103-2804
Phone (901) 448-4795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1104407428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 JEFFERSON AVE STE E102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032804",
"telephone_number": "901-448-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVE STE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033438",
"telephone_number": "901-448-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "SIERRA",
"middle_name": "GOULD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.