Active NPI
Bryn Medical PLLC
- Multi-Specialty Clinic/Center
- Chattanooga, TN
National Provider Identifier
1124635594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.