City of Bristol

Primary specialty

AmbulanceTaxonomy code 341600000X

License

EMS0000010023 Issued in TN

Legal business name

CITY OF BRISTOL

Practice address

211 Bluff City Hwy
Bristol, TN 37620-4214

Phone

(423) 989-5701

Fax

(423) 989-5701

NPI assigned

Oct 11, 2005

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Bourgeois

Title

City Manager

Phone

(423) 989-5503

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Adam Walden

  • Paramedic
  • Bristol, TN
  • NPI 1588532196
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1801884275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000, DEPT #15",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "888-466-7964",
            "fax_number": "614-987-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BLUFF CITY HWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204214",
            "telephone_number": "423-989-5701",
            "fax_number": "423-989-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "423-989-5503"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000010023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801884275",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00102334",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574726",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles H. Christ, D.D.S.
• Cody D Christian, DDS
• Christopher Carle, DDS, PC
• Michael E Chupp, MD
• Michael Brandon Church, LPTA
• Gregory E Clarity, MD
• Jean Y Clark, NP
• Jonathan Clark, M.D.
• Harry Phillip Claybrook, MD
• Clayton Medical Corporation PLC

• Ambulance in Bristol, TN
• Providers in Bristol, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.