Organization Active NPI

Vanderbilt University Medical Center

  • Critical Access Hospital
  • Nashville, TN
National Provider Identifier
1700950284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
MD28938 Issued in TN
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Practice address
1215 21St Ave S
3108 Medical Center East
Nashville, TN 37232-0014
Phone
(615) 343-9419
Fax
(615) 936-6493
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clifford Bowens Jr., M.D.
Title
Assistant Professor
Phone
(615) 343-9419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X MD28938 TN Primary

Addresses

Primary practice location

1215 21St Ave S
3108 Medical Center East
Nashville, TN 37232-0014

Mailing address

2320 Brookfield Dr
Brentwood, TN 37027-3720
Phone (615) 776-7164

National Provider Directory

National Provider Directory
Tax ID family
Vanderbilt Medical Grou27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1215 21st Ave S
#3108
Nashville, TN 37232
Phone (615) 343-6336

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700950284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BROOKFIELD DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273720",
            "telephone_number": "615-776-7164",
            "fax_number": "615-776-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "3108 MEDICAL CENTER EAST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-343-9419",
            "fax_number": "615-936-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "615-343-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TN",
            "license": "MD28938",
            "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 Aug 22, 2020; 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.