Internal Medicine and Pediatric Assoc of Bristol
NPI 1093760902ActiveOrganization· Internal Medicine· Bristol, TN
Internal Medicine in Bristol, Tennessee, registered in NPPES in May 2006. The authorized official on file is Vicki L. Moody, Practice Executive. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093760902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | TN |
| Family Medicine | 207Q00000X | — | TN |
| Pediatrics | 208000000X | — | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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