BETHEL SPORTS MEDICINE - NPI 1508379322 - Family Medicine in Mc Kenzie, TN

Q: What is Bethel Universtiy's NPI number?

The NPI number for Bethel Universtiy is 1508379322. It was assigned to this organization in the NPPES registry on November 15, 2017. The provider is doing business as Bethel Sports Medicine.

Q: What is Bethel Universtiy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethel Universtiy was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bethel Sports Medicine NPPES

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

BETHEL SPORTS MEDICINE (NPI 1508379322) is a healthcare organization registered as a family medicine in Mc Kenzie, Tennessee and active in the NPI registry since November 2017. The organization lists Kristy Michelle Dunn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1508379322

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBETHEL UNIVERSTIY

Location Address325 CHERRY AVEMc Kenzie, TN 38201-1769

Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialKristy Michelle DunnAuthorized Official · (731) 352-6428

Enumeration DateNovember 15, 2017

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1508379322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 24365

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

325 CHERRY AVE, Mc Kenzie, TN 38201

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Other Names 1

Doing Business AsBethel Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

LAURA ALESSANDRA HORNER ATC, LAT

Specialist/Technologist (Athletic Trainer)