Individual provider Active NPI

Robert W Hatfield, M.D.

  • Urology Physician
  • Brentwood, TN
National Provider Identifier
1104826163
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0000028878 Issued in TN
Practice address
828 Old Hickory Blvd
Brentwood, TN 37027-4203
Phone
(865) 386-5555
Fax
(865) 386-5555
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD0000028878 TN Primary

Addresses

Primary practice location

828 Old Hickory Blvd
Brentwood, TN 37027-4203

Mailing address

828 Old Hickory Blvd
Brentwood, TN 37027-4203
Phone (865) 386-5555

Other identifiers 6

IdentifierTypeStateIssuer
CI2260OtherTNRAILROAD MEDICARE
020252399OtherTNEEOICP
1669416442OtherTNGROUP NPI
4063095OtherTNBLUE CROSS
3106057OtherTNBLUE CROSS
3883459MedicaidTN

Other names 1

  • Dr. R. Wayne Hatfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000193 TN Practitioner - Urology 2769571785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000028878TNMDUrology Physician
28878TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Invigilo Anesthesia Inc PastSince Nov 14, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1104826163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 OLD HICKORY BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274203",
            "telephone_number": "865-386-5555",
            "fax_number": "865-386-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 OLD HICKORY BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274203",
            "telephone_number": "865-386-5555",
            "fax_number": "865-386-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000028878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2260",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEOICP",
            "identifier": "020252399",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1669416442",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4063095",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3106057",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3883459",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "HATFIELD",
            "middle_name": "WAYNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.