BLUESKY MD
NPI 1700107547
Obstetrics & Gynecology - Obesity Medicine in Brentwood, TN

Active since June 16, 2010
1804 WILLIAMSON CT, SUITE 107, BRENTWOOD, TN 37027(615) 690-6600(615) 690-6604 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bluesky Md NPPES

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

BLUESKY MD (NPI 1700107547) is a healthcare organization registered as an obesity medicine in Brentwood, Tennessee and active in the NPI registry since June 2010. The organization lists Daphne Baker Lodge, President, as its authorized official.

NPPES Registry Identity

NPI1700107547
Entity TypeOrganization
Primary Taxonomy207VB0002X
Legal Business NameREVIVE MD
Location Address1804 WILLIAMSON CT, SUITE 107Brentwood, TN 37027-8170
Mailing Address1804 Williamson Ct, Suite 107Brentwood, TN 37027-8170 · (615) 690-6600 · Fax (615) 690-6604
Fax(615) 690-6604
Organization SubpartNo
Authorized OfficialDaphne Baker LodgePresident · (615) 690-6600
Enumeration DateJune 16, 2010
NPI 1700107547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VB0002X
License Licensed in TN · 26575
Definition
An obstetrics & gynecology physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
1804 WILLIAMSON CT, Brentwood, TN 37027

Other Names 1

Doing Business AsBluesky Md

Other Identifiers 1

Medicare UPINF38598TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Reflexologist
1804 WILLIAMSON CT
BRENTWOOD, TN 37027
Chiropractor
1804 WILLIAMSON CT, STE 108
BRENTWOOD, TN 37027
Obstetrics & Gynecology
1804 WILLIAMSON CT, SUITE 208
BRENTWOOD, TN 37027
Specialist
1804 WILLIAMSON CT, SUITE 208
BRENTWOOD, TN 37027

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 Revive MD's NPI number?

The NPI number for Revive MD is 1700107547. It was assigned to this organization in the NPPES registry on June 16, 2010. The provider is doing business as Bluesky MD.

Where is Revive MD located?

Revive MD is located at 1804 Williamson Ct Suite 107, Brentwood, TN 37027. The listed phone number is (615) 690-6600.

What is Revive MD's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obesity Medicine, with taxonomy code 207VB0002X.

When was this NPI record last updated?

The NPPES record for Revive MD was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.