NPIMap

Individual provider Active NPI

Bruce D Spinzig, MD

  • Internal Medicine Physician
  • Paris, TN
National Provider Identifier
1669416889
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44297 Issued in TN
Practice address
301 Tyson Ave
Pob 1030
Paris, TN 38242-4544
Phone
(731) 644-8535
Fax
(731) 642-9588
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 44297 TN
Internal Medicine Physician 207R00000X 44297 TN Primary
Emergency Medicine Physician 207P00000X 44297 TN

Addresses

Primary practice location

301 Tyson Ave
Pob 1030
Paris, TN 38242-4544

Mailing address

301 Tyson Ave
Pob 1030
Paris, TN 38242-4544
Phone (731) 644-8535

Other identifiers 3

IdentifierTypeStateIssuer
014072OtherINSIHO
1511587MedicaidTN
Q003319MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090129000192 TN Practitioner - Internal MedicinePractitioner - Family Practice 7012998388 Reassigns benefits to 4 organizations
Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Saint Louis University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians

Practice addresses (Care Compare)

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44297TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center Hospitalist CurrentSince Jun 5, 2016 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Apr 5, 2018 Accepting new patients
Henry County Medical Center CurrentSince Jun 5, 2016 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Cardiovascular Specialists PSC Past Accepting new patients
Community Medical Associates, Inc. Emergency Medicine Past Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients
West Tennessee Healthcare Henry County Past Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://api.platform.athenahealth.com/3402/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1669416889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TYSON AVE",
            "address_2": "POB 1030",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424544",
            "telephone_number": "731-644-8535",
            "fax_number": "731-642-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TYSON AVE",
            "address_2": "POB 1030",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424544",
            "telephone_number": "731-644-8535",
            "fax_number": "731-642-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINZIG",
        "first_name": "BRUCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "44297",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "44297",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "44297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "014072",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511587",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.