R Brent Harbin DPM PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM0000000559 Issued in TN

Legal business name

R BRENT HARBIN DPM PLLC

Practice address

616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904

Phone

(865) 977-1316

Fax

(865) 977-8742

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Reginald Brent Harbin, DPM

Title

Owner

Phone

(865) 977-1316

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Foothills Podiatry PLLC Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1194940650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013904",
            "telephone_number": "865-977-1316",
            "fax_number": "865-977-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013904",
            "telephone_number": "865-977-1316",
            "fax_number": "865-977-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BRENT HARBIN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "HARBIN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-977-1316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000559",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353534",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Podiatry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorri Pulley
• Jennifer Leigh Pusser, M.A. CCC-SLP
• Doris Qualls, APRN-C
• Sharon Ann Queen
• John Walton Quillen, L.A.D.A.C.
• R Jeff Slavin PHD PC
• Cheryl Lynn Racine, APN, FNP
• Radiant Pathway 2 Futures Outreach Organization
• Anthony Ragsdale, MD
• Jesse Alen Raines, RN

• Podiatrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.