| Bernard Parham MD PLLC | |
|
3475 Brainerd Rd Bldg B Chattanooga TN 37411-3542 | |
| (423) 800-8337 | |
| (423) 760-8257 |
| Full Name | Bernard Parham MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3475 Brainerd Rd Bldg B, Chattanooga, Tennessee |
| Authorized Official Name and Position | Bernard Lee Parham (CEO) |
| Authorized Official Contact | 4238008337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard Parham MD PLLC 3475 Brainerd Rd Bldg B Chattanooga TN 37411-3542 Ph: (423) 800-8337 | Bernard Parham MD PLLC 3475 Brainerd Rd Bldg B Chattanooga TN 37411-3542 Ph: (423) 800-8337 |
| NPI Number | 1568971166 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6204101546 |
|---|---|
| Medicare Enrollment ID | O20171012000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568971166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 021556 (Tennessee) | Primary |
| Provider Name | Bernard L Parham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841225406 PECOS PAC ID: 3577529841 Enrollment ID: I20041213000079 |
| Provider Name | Vivian Grace Parham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881113652 PECOS PAC ID: 4981018454 Enrollment ID: I20231120000548 |
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