Bristol Pediatric Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00000010083 Issued in TN

Legal business name

BRISTOL PEDIATRIC ASSOCIATES, P.C.

Practice address

320 Steeles Rd
Bristol, TN 37620-9532

Phone

(423) 968-2599

Fax

(423) 968-1974

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Duncan Makres, M.D.NPI 1063513778

Title

Owner

Phone

(423) 968-2599

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Duncan Makres, M.D.

  • Pediatrics Physician
  • Bristol, TN
  • NPI 1063513778
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164523825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STEELES RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376209532",
            "telephone_number": "423-968-2599",
            "fax_number": "423-968-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 STEELES RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376209532",
            "telephone_number": "423-968-2599",
            "fax_number": "423-968-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PEDIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKRES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-968-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD00000010083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Imaging Center, LLC.
• Bristol Laboratories, LLC
• Bristol Nursing Home, Inc.-Pharmacy
• Bristol Orthopaedic Associates, P. C.
• Bristol Orthotics & Prosthetics Inc.
• Bristol Pediatric Dentistry PLLC
• Bristol Regional Women's Center
• Bristol Surgery Center
• Bristol Surgery Center, LLC
• Bristol Surgical Associates PC

• Specialist in Bristol, TN
• Providers in Bristol, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.