TAZEWELL MEDICAL CLINIC, INC.
NPI 1417001645
Clinic/Center in Tazewell, TN

Q: What is Tazewell Medical Clinic, Inc.'s NPI number?

The NPI number for Tazewell Medical Clinic, Inc. is 1417001645. It was assigned to this organization in the NPPES registry on January 23, 2007.

Q: What is Tazewell Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 23, 2007

1442 N BROAD ST, SUITE 7, TAZEWELL, TN 37879(423) 626-6145(423) 526-2804 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tazewell Medical Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAZEWELL MEDICAL CLINIC, INC. (NPI 1417001645) is a healthcare organization registered as a clinic/center in Tazewell, Tennessee and active in the NPI registry since January 2007. The organization lists Rondal Keith Brock, President, as its authorized official.

NPPES Registry Identity

NPI1417001645

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTAZEWELL MEDICAL CLINIC, INC.

Location Address1442 N BROAD ST, SUITE 7Tazewell, TN 37879-4361

Mailing Address1442 N Broad St, Suite 7Tazewell, TN 37879-4361 · (423) 626-6145 · Fax (423) 526-2804

Phone(423) 626-6145

Fax(423) 526-2804

Organization SubpartNo

Authorized OfficialRondal Keith BrockPresident · (423) 626-6145

Enumeration DateJanuary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417001645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in TN · PA476

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1442 N BROAD ST, Tazewell, TN 37879

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Other Identifiers 1

Other4043299TN · Bcbs-t Group Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD JC FEJERAN DO

Internal Medicine

1442 N BROAD ST, SUITE 7
TAZEWELL, TN 37879

Claiborne County (423) 626-1931

PEDIATRICS TO PARENTS MEDICAL, PC

Clinic/Center (Multi-Specialty)

1442 N BROAD ST, SUITE 7
TAZEWELL, TN 37879

Claiborne County (423) 626-1931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tazewell Medical Clinic, Inc.'s NPI number?

The NPI number for Tazewell Medical Clinic, Inc. is 1417001645. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Tazewell Medical Clinic, Inc. located?

Tazewell Medical Clinic, Inc. is located at 1442 N Broad St Suite 7, Tazewell, TN 37879. The listed phone number is (423) 626-6145.

What is Tazewell Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tazewell Medical Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.