Active NPI
Robert Dennis Preston Jr.
- Independent Duty Corpsman
- Millington, TN
National Provider Identifier
1487746236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- Brach Medical Clinic
Naval Support Activity Mid-South
Millington, TN 38054 - Phone
- (901) 874-6100
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
Brach Medical Clinic
Naval Support Activity Mid-South
Millington, TN 38054
Mailing address
6035 Savitz Dr
Millington, TN 38053-2729
Phone (858) 472-6169
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487746236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 SAVITZ DR",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380532729",
"telephone_number": "858-472-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRACH MEDICAL CLINIC",
"address_2": "NAVAL SUPPORT ACTIVITY MID-SOUTH",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38054",
"telephone_number": "901-874-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "ROBERT",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.