Organization Active NPI

Resilient Medical Services

  • General Practice Physician
  • Memphis, TN
National Provider Identifier
1154934677
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RESILIENT MEDICAL SERVICES
Practice address
721 W Brookhaven Cir
Memphis, TN 38117-4503
Phone
(901) 821-0945
Fax
(901) 255-0637
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Debra James
Title
Billing Manager
Phone
(901) 488-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

721 W Brookhaven Cir
Memphis, TN 38117-4503

Mailing address

721 W Brookhaven Cir
Memphis, TN 38117-4503
Phone (901) 821-0945

Other identifiers 1

IdentifierTypeStateIssuer
048446248OtherTNDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL deb.pbs@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

721 W Brookhaven Cir
Memphis, TN 38117
Phone (901) 767-8077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1154934677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174503",
            "telephone_number": "901-821-0945",
            "fax_number": "901-255-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174503",
            "telephone_number": "901-821-0945",
            "fax_number": "901-255-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "901-488-7995"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "048446248",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "deb.pbs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "721 W Brookhaven Cir",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381174503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.