Active NPI
Bearden Healthcare Associates Inc
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
National Provider Identifier
1144253469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BEARDEN HEALTHCARE ASSOCIATES INC
- Practice address
- 10321 Kingston Pike
Knoxville, TN 37922-3224 - Phone
- (865) 584-3565
- Fax
- (865) 584-2956
- NPI assigned
- Jul 9, 2006
- 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
- Glenn D Johnson, DC
- Title
- Chiropractic Physician/Owner
- Phone
- (865) 584-3565
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000000705 | TN | |
| Chiropractor | 111N00000X | DC0000000766 | TN | |
| Anesthesiology Physician | 207L00000X | MD53866 | TN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD53866 | TN | |
| Family Medicine Physician | 207Q00000X | MD0000016119 | TN | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | TN | Primary |
Addresses
Primary practice location
10321 Kingston Pike
Knoxville, TN 37922-3224
Mailing address
10321 Kingston Pike
Knoxville, TN 37922-3224
Phone (865) 584-3565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3971651 | Medicaid | TN | |
| 7379550001 | Other | TN | DURABLE MEDICAL EQUIPMENT |
National Provider Directory
National Provider DirectoryLocations
420 Bearden Rd
Knoxville, TN 37919
Phone (865) 584-3565
Interoperability endpoints
- https://api.platform.athenahealth.com/15668/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Morristown, TN
- NPI 1255477493
-
- Physical Therapist
- Knoxville, TN
- NPI 1043361538
-
- Surgical Oncology Physician
- Atlanta, GA
- NPI 1699777474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496620800000",
"number": "1144253469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10321 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223224",
"telephone_number": "865-584-3565",
"fax_number": "865-584-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10321 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223224",
"telephone_number": "865-584-3565",
"fax_number": "865-584-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEARDEN HEALTHCARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2017-06-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
"authorized_official_telephone_number": "865-584-3565",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000000705",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000000766",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD53866",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "MD53866",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000016119",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3971651",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "7379550001",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.