Active NPI
Kenneth Edward Bartholomew, MD
- Pain Medicine (Anesthesiology) Physician
- Nashville, TN
National Provider Identifier
1144222035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD0000015080
- Practice address
- 3443 Dickerson Pike
Suite 590
Nashville, TN 37207-2519 - Phone
- (615) 860-3500
- Fax
- (615) 860-2420
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD0000015080 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Suite 590
Nashville, TN 37207-2519
Mailing address
170-D East Main Street
PMB 115
Hendersonville, TN 37075-2579
Phone (615) 860-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3377000 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000015080 | TN | MD | Pain Medicine (Anesthesiology) Physician |
| 15080 | TN | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144222035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170-D EAST MAIN STREET",
"address_2": "PMB 115",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752579",
"telephone_number": "615-860-3500",
"fax_number": "615-860-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 590",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-860-3500",
"fax_number": "615-860-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMEW",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "MD0000015080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3377000",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.