Philip Wayne Perdue, M.D.

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

16996 Issued in OK

Practice address

Surgery Service, B311H
1310 24TH Ave. South
Nashville, TN 37212

Phone

(615) 873-7218

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1851353981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SURGERY SERVICE, B311H",
            "address_2": "1310 24TH AVE. SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-873-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SURGERY SERVICE, B311H",
            "address_2": "1310 24TH AVE. SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37212",
            "telephone_number": "615-873-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "PHILIP",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OK",
            "license": "16996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Perciavalle, PHARMD.
• Galen Perdikis, M.D.
• Sofia Perdomo, MSN, PMHNP-BC
• Edward C Perdue, D.D.S.
• Meredith Elise Perdue
• Julia Nogueira Peredo
• Tatiana Nogueira Peredo, PHD
• Daniel Pereira, MD
• David Pereira, MD
• Maria Paula Pereira

• Trauma Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Trauma Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.