Ben J Birdwell, M.D.
Individual provider Active NPI Internal Medicine Physician · Hermitage, TN
NPI 1366496655 · NPPES record last updated Feb 16, 2010
Key facts
- NPI
- 1366496655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4334 (TN)
- Practice address
- 5653 Frist Blvd
Suite 630
Hermitage, TN 37076-2094 - Phone
- (615) 391-3971
- Fax
- (615) 369-2032
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4334 | TN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Associates PC | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4334 | TN | Yes |
Addresses
Primary practice location
5653 Frist Blvd
Suite 630
Hermitage, TN 37076-2094
Mailing address
5653 Frist Blvd
Suite 630
Hermitage, TN 37076-2094
Phone (615) 391-3971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004611 | Other | TN | BCBS |
| 4082406 | Other | TN | AETNA |
| P2842748 | Other | TN | FIRST HEALTH |
| 2004611 | Other | TN | TENNCARE |
| 2573809 | Other | TN | CIGNA |
| 110090707 | Other | TN | R/R MEDICARE |
| 3144947 | Medicaid | TN | |
| B02096 | Other | TN | HEALTHSPRING |
Other providers in Hermitage, TN
- Anthony Michael Bertrand
- George Beshay
- Beverly Andrews FNP PLLC
- Siddharth Bhavsar
- Michael Biersmith
- Tyler Robert Blahnik
- Laura Johnetta Blakely
- Olof Lowry Blomberg
- Gregory Egbert Bobo
- Homa Boms
All providers in Hermitage, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.