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

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: July 26, 2026.

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
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

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.

Internal Medicine
1442 N BROAD ST, SUITE 7
TAZEWELL, TN 37879
Clinic/Center (Multi-Specialty)
1442 N BROAD ST, SUITE 7
TAZEWELL, TN 37879

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 with the weekly NPPES data releases published by CMS.