Organization Active NPI

Northern Tennessee Pain Management Center

  • Pain Medicine Physician
  • Nashville, TN
National Provider Identifier
1427340603
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
NORTHERN TENNESSEE PAIN MANAGEMENT CENTER
Practice address
1805 8TH Ave S
Nashville, TN 37203-5011
Phone
(859) 746-2444
Fax
(859) 746-9666
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Brad Hamblen
Title
Member
Phone
(859) 746-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1805 8TH Ave S
Nashville, TN 37203-5011

Mailing address

7986 Tanners Gate LN
Florence, KY 41042-1863
Phone (859) 746-2444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1427340603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7986 TANNERS GATE LN",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421863",
            "telephone_number": "859-746-2444",
            "fax_number": "859-746-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 8TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035011",
            "telephone_number": "859-746-2444",
            "fax_number": "859-746-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN TENNESSEE PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMBLEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-746-2444"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.