Active NPI
David W. Marden, DO
- Obstetrics & Gynecology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO 1214
- Practice address
- 1 Medical Park Blvd Ste 305E
Bristol, TN 37620-7450 - Phone
- (423) 844-5640
- Fax
- (423) 844-5645
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO 1214 | TN | Primary |
Addresses
Primary practice location
1 Medical Park Blvd Ste 305E
Bristol, TN 37620-7450
Mailing address
1 Medical Park Blvd Ste 305E
Bristol, TN 37620-7450
Phone (423) 844-5640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699778605 | Medicaid | VA | |
| 1509780 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- College of Osteo Med of the Pacific at Pomona, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Medical Park Blvd
Suite 305E
Bristol, TN 37620-7450
Phone (423) 844-5640
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Johnston Memorial Hospital
- Clinch Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 1214 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marden Medical, PLLC | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 305E
Bristol, TN 37620
Phone (423) 279-1400
Interoperability endpoints
- david.marden.1@2683.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Gynecology Physician
- Bristol, TN
- NPI 1386978062
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1699778605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 305E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207450",
"telephone_number": "423-844-5640",
"fax_number": "423-844-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 305E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207450",
"telephone_number": "423-844-5640",
"fax_number": "423-844-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDEN",
"first_name": "DAVID",
"middle_name": "W.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "DO 1214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699778605",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509780",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.