Individual provider Active NPI

Alan L. Gorrell, M.D.

  • Gynecology Physician
  • Bristol, TN
National Provider Identifier
1912082108
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD0000012701 Issued in TN
Practice address
249 Midway Medical Park
Suite 202
Bristol, TN 37620-1693
Phone
(423) 844-6220
NPI assigned
Oct 26, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD0000012701 TN Primary

Addresses

Primary practice location

249 Midway Medical Park
Suite 202
Bristol, TN 37620-1693

Mailing address

19 Tipperary Cir
Bristol, TN 37620-3049
Phone (423) 844-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161114002361 CA Practitioner - Obstetrics/Gynecology 1759556327 Reassigns benefits to 1 organization
I20190114001284 VA Practitioner - Obstetrics/Gynecology 1759556327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000012701TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. CurrentSince Oct 1, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 25, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 25, 2020 Accepting new patients

Locations

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

408 N State of Franklin Rd
Ste 31
Johnson City, TN 37604
Phone (423) 431-2477

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1912082108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TIPPERARY CIR",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203049",
            "telephone_number": "423-844-6220",
            "fax_number": "423-573-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MIDWAY MEDICAL PARK",
            "address_2": "SUITE 202",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201693",
            "telephone_number": "423-844-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "ALAN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD0000012701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.