Active NPI
David Bradley Seitzinger, MD
- Internal Medicine Physician
- Cookeville, TN
National Provider Identifier
1831174887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD023946
- Practice address
- 128 N Whitney Ave
Cookeville, TN 38501-2493 - Phone
- (931) 783-5848
- Fax
- (931) 528-1266
- NPI assigned
- Dec 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD023946 | TN | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A419654 | TN |
Addresses
Primary practice location
128 N Whitney Ave
Cookeville, TN 38501-2493
Mailing address
127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3817128 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2020 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A419654 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1831174887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N OAK AVE",
"address_2": "SUITE D",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012435",
"telephone_number": "931-783-5857",
"fax_number": "931-526-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 N WHITNEY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012493",
"telephone_number": "931-783-5848",
"fax_number": "931-528-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITZINGER",
"first_name": "DAVID",
"middle_name": "BRADLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD023946",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TN",
"license": "A419654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3817128",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Lindsay Seagraves, NP-C
- Katherine Butler Seale, DPT
- Landon Sears, D.M.D.
- Seasons Family Medicine, PLLC
- Ashley R Sebastian, FNP-BC
- Graham Sells, PHARMD
- Ruthellen Elizabeth Sells, BEHAVIOR TECHNICIAN
- Tony Dale Sells, DPH
- Haley Semeniuk, BSN, RN, IBCLC
- Senior Life Management LLC (Home Instead Senior Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.