NPIMap

Organization Active NPI

Advanced Medical Group, P.C.

  • Chiropractor
  • Lenoir City, TN
National Provider Identifier
1346281706
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
178 Issued in TN
Legal business name
ADVANCED MEDICAL GROUP, P.C.
Practice address
615 Leeper Parkway
Lenoir City, TN 37772-6151
Phone
(865) 986-8600
Fax
(865) 986-0961
NPI assigned
Jun 9, 2006
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Terry Bragg, DCNPI 1659339158
Title
Owner
Phone
(865) 986-8600

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 178 TN Primary

Addresses

Primary practice location

615 Leeper Parkway
Lenoir City, TN 37772-6151

Mailing address

615 Leeper Parkway
Lenoir City, TN 37772-6151
Phone (865) 986-8600

National Provider Directory

National Provider Directory

Locations

615 Leeper Pkwy
Lenoir City, TN 37772
Phone (865) 986-8600

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1346281706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LEEPER PARKWAY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726151",
            "telephone_number": "865-986-8600",
            "fax_number": "865-986-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LEEPER PARKWAY",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726151",
            "telephone_number": "865-986-8600",
            "fax_number": "865-986-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-986-8600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.