Individual provider Active NPI

Waldemar Charles August Sternbergh Jr., MD

  • Neurological Surgery Physician
  • Signal Mountain, TN
National Provider Identifier
1447757869
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
8414 Issued in TN
Practice address
108 Riverpoint Rd
Signal Mountain, TN 37377-2238
Phone
(423) 886-9668
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 8414 TN Primary

Addresses

Primary practice location

108 Riverpoint Rd
Signal Mountain, TN 37377-2238

Mailing address

108 Riverpoint Rd
Signal Mountain, TN 37377-2238
Phone (423) 886-9668

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8414TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1447757869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RIVERPOINT RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772238",
            "telephone_number": "423-886-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RIVERPOINT RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772238",
            "telephone_number": "423-886-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBERGH",
        "first_name": "WALDEMAR",
        "middle_name": "CHARLES AUGUST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "8414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.