Active NPI
Babatunde Sotayo Sotunde, M.D.
- Pediatrics Physician
- Franklin, TN
National Provider Identifier
1962415414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0000031528
- Practice address
- 112 9TH Ave S
Franklin, TN 37064-2819 - Phone
- (615) 790-0567
- NPI assigned
- Aug 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0000031528 | TN | Primary |
Addresses
Primary practice location
112 9TH Ave S
Franklin, TN 37064-2819
Mailing address
1714 Charity Dr
Brentwood, TN 37027-8674
Phone (615) 554-1604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440080 | Medicaid | TN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000031528 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962415414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 CHARITY DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278674",
"telephone_number": "615-554-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 9TH AVE S",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370642819",
"telephone_number": "615-790-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTUNDE",
"first_name": "BABATUNDE",
"middle_name": "SOTAYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "0000031528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440080",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.