Active NPI
Maria Corazon Villareal Benitez-Brauer, MD
- Pediatrics Physician
- Hendersonville, TN
National Provider Identifier
1831185644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD31145
- Practice address
- 625 E Main St
Suite 3
Hendersonville, TN 37075-2602 - Phone
- (615) 822-8388
- Fax
- (615) 822-8336
- NPI assigned
- Sep 27, 2005
- Last updated
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31145 | TN | |
| Pediatrics Physician | 208000000X | MD31145 | TN | Primary |
Addresses
Primary practice location
625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Mailing address
625 E Main St Ste 4
Hendersonville, TN 37075-2602
Phone (615) 822-8388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31145 | TN | MD | Pediatrics Physician |
| MD31145 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Pediatrics, PLLC | Pediatrics | Current | Accepting new patients |
Locations
625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484
625 Johnny Cash Blvd
Ste 4
Hendersonvlle, TN 37075
Phone (615) 212-8908
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hendersonville, TN
- NPI 1639490246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1831185644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E MAIN ST STE 4",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752602",
"telephone_number": "615-822-8388",
"fax_number": "615-822-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E MAIN ST",
"address_2": "SUITE 3",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752602",
"telephone_number": "615-822-8388",
"fax_number": "615-822-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ-BRAUER",
"first_name": "MARIA CORAZON",
"middle_name": "VILLAREAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "31145",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD31145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.