Individual provider Active NPI

Bernard L Parham Sr., MD

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1841225406
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000021556 Issued in TN
Practice address
3475 Brainerd Rd BLDG B
Chattanooga, TN 37411
Phone
(423) 800-8337
Fax
(423) 760-8257
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 021556 TN
Specialist 174400000X MD0000021556 TN Primary

Addresses

Primary practice location

3475 Brainerd Rd BLDG B
Chattanooga, TN 37411

Mailing address

3475 Brainerd Rd BLDG B
Chattanooga, TN 37411-3542
Phone (423) 800-8337

Other practice location 1

3475 Brainerd Rd Bldg B
Chattanooga, TN 37411-3542
Phone (423) 800-8337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000079 TN Practitioner - Internal Medicine 3577529841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3475 Brainerd Rd
Building B
Chattanooga, TN 37411-3542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000021556TNMDSpecialist
021556TNMDInternal Medicine Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841225406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 BRAINERD RD BLDG B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113542",
            "telephone_number": "423-800-8337",
            "fax_number": "423-760-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 BRAINERD RD BLDG B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "423-800-8337",
            "fax_number": "423-760-8257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 Brainerd Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374113542",
            "country_code": "US",
            "telephone_number": "423-800-8337",
            "fax_number": "423-760-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "BERNARD",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "021556",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000021556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.