Organization Active NPI

Bluff City Multispecialty Clinic

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1306486493
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUFF CITY MULTISPECIALTY CLINIC
Practice address
740 Bartlett Rd
Memphis, TN 38122-3004
Phone
(901) 685-8202
Fax
(901) 682-3525
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Terrye Mastin, APRN
Title
Owner
Phone
(901) 685-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

740 Bartlett Rd
Memphis, TN 38122-3004

Mailing address

740 Bartlett Rd
Memphis, TN 38122-3004
Phone (901) 685-8202

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

Locations

740 Bartlett Rd
Memphis, TN 38122
Phone (901) 685-8202

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1306486493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 BARTLETT RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223004",
            "telephone_number": "901-685-8202",
            "fax_number": "901-682-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 BARTLETT RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223004",
            "telephone_number": "901-685-8202",
            "fax_number": "901-682-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF CITY MULTISPECIALTY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MASTIN",
        "authorized_official_first_name": "TERRYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-685-8202",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.