Organization Active NPI

MD Sea to Sea PC

  • Urgent Care Clinic/Center
  • Mount Juliet, TN
National Provider Identifier
1518870849
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MD SEA TO SEA PC
Practice address
2055 N Mount Juliet Rd Ste 100
Mt Juliet, TN 37122-4287
Phone
(760) 809-4267
Fax
(858) 500-1812
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
Dr. Bryan Long, MD, MPH
Title
President
Phone
(760) 809-4267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2055 N Mount Juliet Rd Ste 100
Mt Juliet, TN 37122-4287

Mailing address

819 N Bragg Ave
Lookout Mountain, TN 37350-1003
Phone (760) 809-4267

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1518870849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N BRAGG AVE",
            "city": "LOOKOUT MOUNTAIN",
            "state": "TN",
            "postal_code": "373501003",
            "telephone_number": "760-809-4267",
            "fax_number": "858-500-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N MOUNT JULIET RD STE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224287",
            "telephone_number": "760-809-4267",
            "fax_number": "858-500-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SEA TO SEA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-809-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.