Organization Active NPI

Roberts Integrative Medicine, LLC

  • Family Medicine Physician
  • Madison, TN
National Provider Identifier
1962988709
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERTS INTEGRATIVE MEDICINE, LLC
Practice address
1710 Gallatin Pike N
Madison, TN 37115-2122
Phone
(615) 645-0994
Fax
(615) 915-0389
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Edward Andrew Roberts, DC
Title
Owner
Phone
(615) 995-1269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1710 Gallatin Pike N
Madison, TN 37115-2122

Mailing address

1710 Gallatin Pike N
Madison, TN 37115-2122
Phone (615) 645-0994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1962988709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152122",
            "telephone_number": "615-645-0994",
            "fax_number": "615-915-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152122",
            "telephone_number": "615-645-0994",
            "fax_number": "615-915-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-995-1269",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.