TULLAHOMA UROLOGY CENTER, P.L.L.C.
NPI 1720060841
Urology in Tullahoma, TN

Active since November 15, 2005
107 LEDFORD MILL RD, SUITE 210, TULLAHOMA, TN 37388(931) 454-1955(931) 454-1956 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tullahoma Urology Center, P.l.l.c. NPPES

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

TULLAHOMA UROLOGY CENTER, P.L.L.C. (NPI 1720060841) is a healthcare organization registered as an urology in Tullahoma, Tennessee and active in the NPI registry since November 2005. The organization lists Mark Lloyd Burson, Owner, as its authorized official.

NPPES Registry Identity

NPI1720060841
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTULLAHOMA UROLOGY CENTER, P.L.L.C.
Location Address107 LEDFORD MILL RD, SUITE 210Tullahoma, TN 37388-2278
Mailing AddressPo Box 1718Tullahoma, TN 37388-1718 · (931) 454-1955 · Fax (931) 454-1956
Fax(931) 454-1956
Organization SubpartNo
Authorized OfficialMark Lloyd BursonOwner · (931) 454-1955
Enumeration DateNovember 15, 2005
Last NPPES UpdateJune 17, 2010
NPI 1720060841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TN · 40439
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
107 LEDFORD MILL RD, Tullahoma, TN 37388

Other Identifiers 3

Other4116328TN · Bcbs/tn
Medicare UPIND51838
Medicare PIN3732272TN

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

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 Tullahoma Urology Center, P.L.L.C.'s NPI number?

The NPI number for Tullahoma Urology Center, P.L.L.C. is 1720060841. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Tullahoma Urology Center, P.L.L.C. located?

Tullahoma Urology Center, P.L.L.C. is located at 107 Ledford Mill Rd Suite 210, Tullahoma, TN 37388. The listed phone number is (931) 454-1955.

What is Tullahoma Urology Center, P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Tullahoma Urology Center, P.L.L.C. was last updated on June 17, 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.