Organization Active NPI

B. B. Ledbetter, M. D., PLC

  • Gynecology Physician
  • Clarksville, TN
National Provider Identifier
1356531461
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD9047 Issued in TN
Legal business name
B. B. LEDBETTER, M. D., PLC
Practice address
1731 Memorial Dr
Suite 203
Clarksville, TN 37043-4523
Phone
(931) 645-4200
Fax
(931) 645-4285
NPI assigned
Jul 26, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Mr. Buford B Ledbetter Jr., M.D.NPI 1972562064
Title
Physician
Phone
(931) 645-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD9047 TN Primary

Addresses

Primary practice location

1731 Memorial Dr
Suite 203
Clarksville, TN 37043-4523

Mailing address

1731 Memorial Drive
Suite 203
Clarksville, TN 37043-4543
Phone (931) 645-4200

National Provider Directory

National Provider Directory

Locations

787 Weatherly Dr
Ste 300
Clarksville, TN 37043
Phone (931) 444-5494

Practitioners & affiliated clinicians

Practitioners 1

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1356531461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MEMORIAL DRIVE",
            "address_2": "SUITE 203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434543",
            "telephone_number": "931-645-4200",
            "fax_number": "931-645-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 MEMORIAL DR",
            "address_2": "SUITE 203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434523",
            "telephone_number": "931-645-4200",
            "fax_number": "931-645-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. B. LEDBETTER, M. D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "BUFORD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-645-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD9047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.