NPIMap

Organization Active NPI

Bean Station Family Medicine, PC

  • Primary Care Clinic/Center
  • Bean Station, TN
National Provider Identifier
1255594487
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEAN STATION FAMILY MEDICINE, PC
Practice address
1179 Highway 11W
Bean Station, TN 37708-5809
Phone
(865) 993-1070
Fax
(865) 993-1075
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Hector L Vega, PA-CNPI 1669493433
Title
Owner
Phone
(865) 993-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1179 Highway 11W
Bean Station, TN 37708-5809

Mailing address

PO Box 455
Bean Station, TN 37708-0455
Phone (865) 993-1070

National Provider Directory

National Provider Directory

Locations

210 E Economy Rd
Morristown, TN 37814
Phone (423) 307-1468

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1255594487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377080455",
            "telephone_number": "865-993-1070",
            "fax_number": "865-993-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 HIGHWAY 11W",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377085809",
            "telephone_number": "865-993-1070",
            "fax_number": "865-993-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAN STATION FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-993-1070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bean Station, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.