BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC – NPI #1609948009
Family Medicine
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.
BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC is a provider located in MORRISTOWN, TN. NPPES has assigned the NPI number 1609948009 to BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC is also known by the name MOSES BENAVIDES MD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC below.
NPI Profile for
BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC
(more than 19 years ago)
SUITE 3
MORRISTOWN, TN 37813-3856 Phone: (423) 318-1185 Fax: (423) 318-1015
SUITE B
MORRISTOWN, TN 37813 Phone: (423) 318-1185 Fax: (423) 318-1015
CEO
Phone: (423) 318-1185
Identifiers for BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DEA | TN | BB9370189 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
||
| 261QX0100X - Clinic/Center / Occupational Medicine |
TN | MD0000040290 |
| 261QU0200X - Clinic/Center / Urgent Care |
TN | MD0000040290 |
| 261QP2300X - Clinic/Center / Primary Care |
TN | MD0000040290 |
| 261QM1300X - Clinic/Center / Multi-Specialty |
TN | MD 0000040290 |
| 261QM1103X - Clinic/Center / Military Ambulatory Procedure Visits Operational (Transportable) |
TN | MD0000040290 |
| 261QD0000X - Clinic/Center / Dental |
TN | DS0000007577 |
| 261QC1800X - Clinic/Center / Corporate Health |
TN | MD0000040290 |
| 261QC1500X - Clinic/Center / Community Health |
TN | MD0000040290 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.