OrganizationActive
Tullahoma Urology Center, P.L.L.C.
NPI 1720060841 · Urology Physician · Tullahoma, TN
Provider details
- NPI number
- 1720060841
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Burson, Owner(931) 454-1955
- License
- 40439 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
107 Ledford Mill Rd
Suite 210
Tullahoma, TN 37388-2278
Phone: (931) 454-1955
Fax: (931) 454-1956
Street-level locationGet directions
Mailing address
Po Box 1718
Tullahoma, TN 37388-1718
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.