OrganizationActive
Tazewell Medical Clinic, Inc.
NPI 1417001645 · Clinic/Center · Tazewell, TN
Tazewell Medical Clinic, Inc. is a Clinic/Center organization in Tazewell, TN (NPI 1417001645).
Provider details
- NPI number
- 1417001645
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rondal Brock, President(423) 626-6145
- License
- PA476 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1442 N Broad St
Suite 7
Tazewell, TN 37879-4361
Phone: (423) 626-6145
Fax: (423) 526-2804
Street-level locationGet directions
Mailing address
1442 N Broad St
Tazewell, TN 37879-4361
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tazewell Medical Clinic, Inc.'s NPI number?
- Tazewell Medical Clinic, Inc.'s National Provider Identifier (NPI) is 1417001645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tazewell Medical Clinic, Inc.?
- Tazewell Medical Clinic, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tazewell Medical Clinic, Inc. located?
- Tazewell Medical Clinic, Inc.'s practice location on file with NPPES is 1442 N Broad St, Tazewell, TN 37879-4361.
- What is Tazewell Medical Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tazewell Medical Clinic, Inc. is (423) 626-6145.
- Who is the authorized official for Tazewell Medical Clinic, Inc.?
- The authorized official listed on Tazewell Medical Clinic, Inc.'s NPPES record is Rondal Brock, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tazewell Medical Clinic, Inc.'s NPI active?
- Yes — Tazewell Medical Clinic, Inc.'s NPI (1417001645) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.