Tennessee Podiatry LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

0570 Issued in TN

Legal business name

TENNESSEE PODIATRY LLC

Practice address

139 Williamsburgh West CT
Nashville, TN 37221-2609

Phone

(615) 369-6500

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Richard Alan Breeden, DPMNPI 1659460699

Title

Owner

Phone

(615) 369-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Richard Alan Breeden, DPM

  • Primary Podiatric Medicine Podiatrist
  • Nashville, TN
  • NPI 1659460699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1376713701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331283",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-369-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WILLIAMSBURGH WEST CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212609",
            "telephone_number": "615-369-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BREEDEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-369-6500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TN",
            "license": "0570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353846",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Orthopaedic Alliance, PA
• Tennessee Orthopaedic Alliance, PA
• Tennessee Orthopaedic Alliance, PA
• Tennessee Personal Assistance, Inc
• Tennessee Personal Assistance, Inc
• Tennessee Recovery Clinic LLC
• Tennessee Retina PC
• Tennessee School for the Blind
• Tennessee Sleep Solutions LLC
• Tennessee Sleep Solutions LLC

• Podiatric Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Podiatric Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.