Active NPI
Alec Wroblewski
- Podiatrist
- Clarksville, TN
National Provider Identifier
1760184295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 990
- Practice address
- 1762 Memorial Dr
Clarksville, TN 37043-4562 - Phone
- (615) 857-5132
- Fax
- (615) 220-8688
- NPI assigned
- Mar 20, 2023
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 990 | TN | Primary |
Addresses
Primary practice location
1762 Memorial Dr
Clarksville, TN 37043-4562
Mailing address
1762 Memorial Dr
Clarksville, TN 37043-4562
Phone (615) 857-5132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914000548 | NC | Order and Referring Only - Orthopedic Surgery | 3072977784 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Larkspur CT
White House, TN 37188-9538
3024 Business Park Cir
Goodlettsville, TN 37072-3132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1760184295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434562",
"telephone_number": "615-857-5132",
"fax_number": "615-220-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434562",
"telephone_number": "615-857-5132",
"fax_number": "615-220-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROBLEWSKI",
"first_name": "ALEC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.