Individual provider Active NPI

A. Bernhard Kliefoth III, MD, FACS, FAHA

  • Neurological Surgery Physician
  • Knoxville, TN
National Provider Identifier
1245371400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD13445 Issued in TN
Practice address
6901 Office Park Cir
Knoxville, TN 37909-1162
Phone
(865) 524-9400
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD13445 TN Primary
Neurological Surgery Physician 207T00000X C33599 CA
Neurological Surgery Physician 207T00000X D7126 TX

Addresses

Primary practice location

6901 Office Park Cir
Knoxville, TN 37909-1162

Mailing address

PO Box 51648
Knoxville, TN 37950-1648
Phone (865) 524-9400

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C33599CAMDNeurological Surgery Physician
MD13445TNMDNeurological Surgery Physician
D7126TXMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245371400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51648",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501648",
            "telephone_number": "865-524-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OFFICE PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091162",
            "telephone_number": "865-524-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEFOTH",
        "first_name": "A.",
        "middle_name": "BERNHARD",
        "name_suffix": "III",
        "credential": "MD, FACS, FAHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD13445",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C33599",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "D7126",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.