Active NPI
Edward Stephen Pratt, MD
- Orthopaedic Surgery of the Spine Physician
- Germantown, TN
National Provider Identifier
1871594952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- MD 14529
- Practice address
- 2120 Exeter Rd
Suite 130
Germantown, TN 38138-3922 - Phone
- (901) 507-2225
- Fax
- (901) 507-7890
- NPI assigned
- Aug 10, 2005
- Last updated
- Oct 31, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD 14529 | TN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD 14529 | TN | Primary |
Addresses
Primary practice location
2120 Exeter Rd
Suite 130
Germantown, TN 38138-3922
Mailing address
2120 Exeter Rd
Suite 130
Germantown, TN 38138-3922
Phone (901) 507-2225
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 |
|---|---|---|---|
| MD 14529 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Memphis Spine Center | Past | Accepting new patients | |
| MSK Group, PC | Orthopaedic Surgery | Past | Accepting new patients |
| MSK Group PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Germantown, TN
- NPI 1114953239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1871594952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 EXETER RD",
"address_2": "SUITE 130",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383922",
"telephone_number": "901-507-2225",
"fax_number": "901-507-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 EXETER RD",
"address_2": "SUITE 130",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383922",
"telephone_number": "901-507-2225",
"fax_number": "901-507-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "EDWARD",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD 14529",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TN",
"license": "MD 14529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.