R.J. Legreid II, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

39319 Issued in TN

Legal business name

R.J. LEGREID II, MD

Practice address

1255 E College St
Pulaski, TN 38478-4515

Phone

(931) 363-0343

Fax

(931) 363-2604

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Russel J Legreid II, M.D.NPI 1407897978

Title

Predisent

Phone

(931) 363-0434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russel Jerome Legreid II, M.D.

  • Specialist
  • Bluffton, IN
  • NPI 1407897978
  NPD (past) Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1376712927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784515",
            "telephone_number": "931-363-0343",
            "fax_number": "931-363-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784515",
            "telephone_number": "931-363-0343",
            "fax_number": "931-363-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.J. LEGREID II, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "LEGREID",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PREDISENT",
        "authorized_official_telephone_number": "931-363-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "39319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulaski Anesthesia Services LLC
• Pulaski Dental PLLC
• Pulaski Eye Care, Inc.
• Pulaski Pediatrics, PLLC
• Steven Zachary Putnam
• Cameron Marie Rai, CPM
• Christopher Michael Reece, DDS
• Reeves Drug Store Inc.
• Reeves Drug Store Inc.
• Reeves Drug Store, Inc.

• Specialist in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.