OrganizationActive
Ultra Health Providers III LLC
NPI 1366307696 · Geriatric Medicine (Internal Medicine) Physician · Bells, TN
Provider details
- NPI number
- 1366307696
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Jerman, Member(731) 234-8120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4128 Old Jackson Rd
Bells, TN 38006-4261
Phone: (731) 394-1145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26168
Oklahoma City, OK 73126-0168
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.