Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE ENDOSCOPY CENTER OF BRISTOL
Active
Organization
THE ENDOSCOPY CENTER OF BRISTOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BARTLEY CPA (CHIEF ADMINISTRATIVE OFFICER)
(423) 246-6777
Entity
Organization
Contact information
Practice address
235 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 246-6777
(423) 246-7766
Mailing address
135 W RAVINE RD, SUITE 3A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004001475
BCBS OF TN
TN
05
—
007603819
—
VA
01
—
100036168
PHP TENNCARE
TN
05
—
3288515
—
TN
05
—
7603819
—
KY
Enumeration date
09/12/2005
Last updated
05/04/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up