Individual provider Active NPI

Joshua Bland, MD

  • Pediatrics Physician
  • Portland, TN
National Provider Identifier
1417586629
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
67995 Issued in TN
Practice address
103 Redbud Dr Ste a
Portland, TN 37148-1617
Phone
(615) 323-1640
Fax
(615) 325-5924
NPI assigned
Apr 8, 2020
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 67995 TN Primary

Addresses

Primary practice location

103 Redbud Dr Ste a
Portland, TN 37148-1617

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726004046 TN Practitioner - Pediatric Medicine 9032570882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Midsouth, LLC CurrentSince Aug 1, 2023 Accepting new patients
Vip Midsouth, LLC Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Vip Midsouth, LLC Past Accepting new patients
Vip Midsouth, LLC Past Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 204
Gallatin, TN 37066
Phone (615) 451-7222

648 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9246

262 New Shackle Island Rd
Ste 203
Hendersonville, TN 37075
Phone (615) 824-1142

306 W Locust St
Lafayette, TN 37083
Phone (615) 668-2273

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

6517 Highway 41A
Ste 100
Pleasant View, TN 37146
Phone (615) 323-1640

103 Redbud Dr
Portland, TN 37148
Phone (615) 323-1640

103 Redbud Dr
Ste A
Portland, TN 37148
Phone (615) 323-1640

103 Redbud Dr
Ste D
Portland, TN 37148
Phone (615) 323-8306

426 22nd Ave E
Springfield, TN 37172
Phone (615) 384-0600

128 Raymond Hirsch Pkwy
Ste 1
White House, TN 37188
Phone (615) 672-8118

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1417586629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR STE A",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481617",
            "telephone_number": "615-323-1640",
            "fax_number": "615-325-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "67995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

Verify at the official NPI Registry.