Active NPI
Shelbyville Clinic Corp
- Pediatrics Physician
- Shelbyville, TN
National Provider Identifier
1609076405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SHELBYVILLE CLINIC CORP
- Doing business as
- Shelbyville Pediatrics
- Practice address
- 841 Union St
Suite E
Shelbyville, TN 37160-2612 - Phone
- (931) 685-5566
- Fax
- (931) 685-5185
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie T Brewer
- Title
- Director
- Phone
- (877) 892-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
841 Union St
Suite E
Shelbyville, TN 37160-2612
Mailing address
330 Franklin Rd 135a-590
Brentwood, TN 37027-3280
Phone (877) 848-1463
Other names 1
- Shelbyville Pediatrics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1609076405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FRANKLIN RD 135A-590",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273280",
"telephone_number": "877-848-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 UNION ST",
"address_2": "SUITE E",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602612",
"telephone_number": "931-685-5566",
"fax_number": "931-685-5185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBYVILLE CLINIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-892-9813"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelbyville Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.