Organization Active NPI

Cliniccare LLC

  • Internal Medicine Physician
  • Gallatin, TN
National Provider Identifier
1881601995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD24133 Issued in TN
Legal business name
CLINICCARE LLC
Practice address
575 E Bledsoe St
Suite 6B
Gallatin, TN 37066-3054
Phone
(615) 451-6296
Fax
(615) 451-6297
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Goldberg, MDNPI 1407836356
Title
Preceptor-Director
Phone
(615) 451-6296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD24133 TN Primary

Addresses

Primary practice location

575 E Bledsoe St
Suite 6B
Gallatin, TN 37066-3054

Mailing address

575 E Bledsoe St
Suite 6B
Gallatin, TN 37066-3054
Phone (615) 451-6296

National Provider Directory

National Provider Directory

Locations

575 E Bledsoe St
Ste 6B
Gallatin, TN 37066
Phone (615) 451-3361

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881601995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E BLEDSOE ST",
            "address_2": "SUITE 6B",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663054",
            "telephone_number": "615-451-6296",
            "fax_number": "615-451-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E BLEDSOE ST",
            "address_2": "SUITE 6B",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663054",
            "telephone_number": "615-451-6296",
            "fax_number": "615-451-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRECEPTOR-DIRECTOR",
        "authorized_official_telephone_number": "615-451-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD24133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.