Bertram R Henry
Neurologist
214 S Peters Rd 101
Knoxville
, Tennessee 37923-5229
Bertram R Henry
Neurologist
214 S Peters Rd 101
Knoxville
, Tennessee 37923-5229
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Bertram R Henry
- 214 S Peters Rd Ste 101 Knoxville
- Knoxville, TN
- Zip : 37923-5229
- Phone :
Second Address
- Bertram R Henry
- 214 S Peters Rd 101
- Knoxville, TN
- Zip : 37923-5229
- Fax : (865) 693-6393
- Phone : (865) 539-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | MD0000008305 | TN |
National Provider Identifier
| NPI | 1013019652 |
|---|---|
| Provider Name | Bertram R Henry |
| First Address | Knoxville, TN 37923-5229 |
| Second Address | Knoxville, TN 37923-5229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/09/2006 |
| Last Update Date | 19/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3154067 | (05) | TN |
| B02499 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.