Organization Active NPI

Roosevelt Peebles, Jr., MD, PC

  • Plastic Surgery Physician
  • Nashville, TN
National Provider Identifier
1669730396
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00024686 Issued in TN
Legal business name
ROOSEVELT PEEBLES, JR., MD, PC
Practice address
1916 Patterson St
Suite 205
Nashville, TN 37203-2120
Phone
(615) 320-9300
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Roosevelt Peebles Jr., MD
Title
Physician
Phone
(615) 320-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD00024686 TN Primary

Addresses

Primary practice location

1916 Patterson St
Suite 205
Nashville, TN 37203-2120

Mailing address

1916 Patterson St
Suite 205
Nashville, TN 37203-2120
Phone (615) 320-9300

National Provider Directory

National Provider Directory

Locations

1916 Patterson St
Ste 205
Nashville, TN 37203
Phone (615) 320-9300

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1669730396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-320-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-320-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT PEEBLES, JR., MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-320-9300",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD00024686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.