Active NPI
Bhabendra N. Putatunda, M.D.
- Nephrology Physician
- Lebanon, TN
National Provider Identifier
1396737177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21370
- Practice address
- 212 Babb Dr
Ste. B
Lebanon, TN 37087-2508 - Phone
- (615) 449-1459
- Fax
- (615) 453-2853
- NPI assigned
- Aug 18, 2005
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 21370 | TN | Primary |
Addresses
Primary practice location
212 Babb Dr
Ste. B
Lebanon, TN 37087-2508
Mailing address
212 Babb Dr
Ste. B
Lebanon, TN 37087-2508
Phone (615) 449-1459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065343 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21370 | TN | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1396737177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BABB DR",
"address_2": "STE. B",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872508",
"telephone_number": "615-449-1459",
"fax_number": "615-453-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BABB DR",
"address_2": "STE. B",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872508",
"telephone_number": "615-449-1459",
"fax_number": "615-453-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTATUNDA",
"first_name": "BHABENDRA",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "21370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3065343",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
- Valerie Pulk, M.S., CCC-SLP
- Megan Ruth Pullum, MA, BCBA, LBA
- Purcare LLC (PurCare of Tennessee)
- Pure Legacy in-Home Care Assistance LLC
- Regina Puryear, NURSE PRACTITIONER
- Valerie Lynn Pyles, HIS
- Quality Care Health Center Dba Digitar Management Services Inc.
- Quality Care Home Health
- Quality Care Investors
- Quality Care Investors, LP (Quality Care Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.