Memphis Children'S Clinic, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEMPHIS CHILDREN'S CLINIC, PLLC

Practice address

6615 Kirby Center CV
Memphis, TN 38115-4313

Phone

(901) 795-9193

Fax

(901) 363-8045

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Bertin

Title

Practice Manager

Phone

(901) 396-0390

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Memphis Children'S Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Memphis Children'S Clinic

  • Pediatrics Physician
  • Bartlett, TN
  • NPI 1740362896
  NPD tax ID
• Memphis Children'S Clinic, PLLC

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1255411294
  NPD tax ID
• Memphis Children'S Clinic, PLLC

  • Pediatrics Physician
  • Bartlett, TN
  • NPI 1477633303
  NPD tax ID
• Memphis Children'S Clinic, PLLC

  • Pediatrics Physician
  • Germantown, TN
  • NPI 1598845497
  NPD tax ID
• Memphis Children'S Clinic, PLLC

  • Pediatrics Physician
  • Southaven, MS
  • NPI 1790865616
  NPD tax ID
• Memphis Children'S Clinic,PLLC

  • Pediatrics Physician
  • Olive Branch, MS
  • NPI 1649450909
  NPD tax ID

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295815116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166373",
            "telephone_number": "901-396-0390",
            "fax_number": "901-396-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-795-9193",
            "fax_number": "901-363-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CHILDREN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-396-0390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382354",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memphis Center for Mindful Living, LLC
• Memphis Center for Reproductive Health
• Memphis Center for Reproductive Health
• Memphis Center for Women and Families
• Memphis Children'S Clinic, PLLC
• Memphis Children'S Surgery Center, LLC
• Memphis Chiropractic Group
• Memphis Clinical Laboratory Inc
• Memphis Clinics LLC
• Memphis Community Health & Wellness Clinic, PLLC

• Pediatrics Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.