UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL – NPI #1710009907
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.

UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL is a provider located in BRISTOL, TN. NPPES has assigned the NPI number 1710009907 to UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL” is a dba name, the actual legal business name for this organization is MEDICAL EDUCATION ASSISTANCE CORPORATION. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL below.

NPI Profile for
MEDICAL EDUCATION ASSISTANCE CORPORATION

NPI Number
1710009907
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL EDUCATION ASSISTANCE CORPORATION
Doing Business As (dba): UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL
Primary location
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Phone: (423) 989-4050 Fax: (423) 990-3044
Mailing address
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone: (423) 433-6039 Fax: (423) 433-6060
Organization Subpart
Yes - UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL is subpart of another organization.
Authorized Official
RUSSELL LEWIS
EXECUTIVE DIRECTOR
Phone: (423) 433-6050
Updated
Identifiers

Identifiers for UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE BRISTOL

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.

DescriptionIssuerStateIdentifier
OTHERDEAFE037906
Taxonomy Code(s)

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)

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.