NPIMap

Organization Active NPI

Foundation Primary Care, LLC

  • General Practice Physician
  • Germantown, TN
National Provider Identifier
1801190921
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FOUNDATION PRIMARY CARE, LLC
Practice address
7690 Wolf River Cir
Germantown, TN 38138-1744
Phone
(901) 756-1231
Fax
(901) 755-1590
NPI assigned
Jan 4, 2011
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
METHODIST HOSPITAL METHODIST HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
William Breen Jr.
Title
President
Phone
(901) 516-0843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7690 Wolf River Cir
Germantown, TN 38138-1744

Mailing address

7690 Wolf River Cir
Germantown, TN 38138-1744
Phone (901) 756-1231

National Provider Directory

National Provider Directory
Part of
Methodist Hospital Cent

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1801190921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7690 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381744",
            "telephone_number": "901-756-1231",
            "fax_number": "901-755-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381744",
            "telephone_number": "901-756-1231",
            "fax_number": "901-755-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST HOSPITAL METHODIST HEALTHCARE",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-516-0843",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.