Organization Active NPI

Bryn Medical PLLC

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1124635594
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRYN MEDICAL PLLC
Practice address
6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972
Phone
(423) 954-7003
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Abby Robertson
Title
Manager
Phone
(423) 954-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972

Mailing address

4295 Cromwell Rd Ste 301
Chattanooga, TN 37421-2163

National Provider Directory

National Provider Directory

Locations

4295 Cromwell Rd
Ste 301
Chattanooga, TN 37421

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1124635594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 CROMWELL RD STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-954-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-954-7003"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Jul 19, 2021; 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.