Organization Active NPI

Ernest G. Buchanan, IV, M.D., PC

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1740478486
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30853 Issued in TN
Legal business name
ERNEST G. BUCHANAN, IV, M.D., PC
Practice address
1101 Neal St
Cookeville, TN 38501-0901
Phone
(931) 528-7797
Fax
(931) 372-0098
NPI assigned
Oct 9, 2007
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Ernest Grover Buchanan IV, M.D.NPI 1720088974
Title
Owner
Phone
(931) 528-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 30853 TN Primary

Addresses

Primary practice location

1101 Neal St
Cookeville, TN 38501-0901

Mailing address

1101 Neal St
Cookeville, TN 38501-0901
Phone (931) 528-7797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1740478486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010901",
            "telephone_number": "931-528-7797",
            "fax_number": "931-372-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010901",
            "telephone_number": "931-528-7797",
            "fax_number": "931-372-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST G. BUCHANAN, IV, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GROVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-528-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.