Active NPI
Roberts Integrative Medicine, LLC
- Family Medicine Physician
- Madison, TN
National Provider Identifier
1962988709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.