Navbrhlthcl

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DS 2106 Issued in TN

Legal business name

NAVBRHLTHCL

Practice address

5722 Integrity Dr
BLDG S-771 Navsupact Mid South
Millington, TN 38054-5028

Phone

(901) 874-5471

NPI assigned

Jun 23, 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. Paul W Gerhardt, DDS

Title

Officer in Charge

Phone

(901) 874-6100

Specialties & licenses 1

Addresses

Tax ID family

Nmcsd63 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295761476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR",
            "address_2": "BLDG S-771 NAVSUPACT MID SOUTH",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR",
            "address_2": "BLDG S-771 NAVSUPACT MID SOUTH",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVBRHLTHCL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERHARDT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER IN CHARGE",
        "authorized_official_telephone_number": "901-874-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "DS 2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flossie Marie Munoz, PTA
• Uzma Naeem, MD
• Mark David Narduzzi, IDC
• National Vision Inc (America's Best Contacts & Eyeglasses)
• National Vision, Inc.
• Torey Nedden, PA-C
• Aubrey Lane Neely, DNP
• Never-Ending Opportunities LLC
• Brandon Newman
• NHC Pensacola

• Clinic/Center in Millington, TN
• Providers in Millington, TN by specialty
• Clinic/Center 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.