Boulevard East Family and Occupational Medicine Inc
NPI 1609948009ActiveOrganization· Family Medicine· Morristown, TN
Family Medicine in Morristown, Tennessee, registered in NPPES in November 2006. The authorized official on file is Moses Benaiah Benavides, MD, Ceo.
Overview
| NPI | 1609948009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Community Health | 261QC1500X | MD0000040290 | TN |
| Clinic/Center, Corporate Health | 261QC1800X | MD0000040290 | TN |
| Clinic/Center, Dental | 261QD0000X | DS0000007577 | TN |
| Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) | 261QM1103X | MD0000040290 | TN |
| Clinic/Center, Multi-Specialty | 261QM1300X | MD 0000040290 | TN |
| Clinic/Center, Primary Care | 261QP2300X | MD0000040290 | TN |
| Clinic/Center, Urgent Care | 261QU0200X | MD0000040290 | TN |
| Clinic/Center, Occupational Medicine | 261QX0100X | MD0000040290 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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