Active NPI
Robert Bryan Whisenhunt
- Surgical Physician Assistant
- Tullahoma, TN
National Provider Identifier
1609308246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- PO Box 205
Tullahoma, TN 37388-0205 - Phone
- (931) 841-5678
- NPI assigned
- Apr 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA304 | KY | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
PO Box 205
Tullahoma, TN 37388-0205
Mailing address
PO Box 205
Tullahoma, TN 37388-0205
Phone (931) 841-5678
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA304 | KY | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609308246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373880205",
"telephone_number": "931-841-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 205",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373880205",
"telephone_number": "931-841-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENHUNT",
"first_name": "ROBERT",
"middle_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA304",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.