MTN ORTHOXPRESS HOLDINGS, LLC – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1376279463

MTN ORTHOXPRESS HOLDINGS, LLC is a healthcare provider. based in Memphis, Tennessee. specializing in Sports Medicine (Orthopaedic Surgery) Physician. The NPI Number for MTN ORTHOXPRESS HOLDINGS, LLC is 1376279463

Main info

Organization
Name
MTN ORTHOXPRESS HOLDINGS, LLC
NPI
1376279463
Phone
(901) 426-1090
Address
6515 Poplar Ave Ste 106
Authorized Official
JENNIFER C BULLOCK PRESIDENT
Enumeration Date
29 July 2022
Last Update Date
10 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for MTN ORTHOXPRESS HOLDINGS, LLC

  • 6515 Poplar Ave Ste 106

    Memphis, TN 381194878

    Phone: (901) 426-1090

    Fax: (901) 426-1091

    Type: Location

  • 11645 HWY 51 S

    STE 103

    MUNFORD, TN 38058

    Phone: (662) 534-2227

    Type: Location

  • 206 OXFORD RD

    NEW ALBANY, MS 386523115

    Phone: (662) 534-2227

    Fax: (662) 534-5542

    Type: Mailing

  • 11645 HIGHWAY 51 S STE 103

    ATOKA, TN 380042001

    Phone: (901) 407-2221

    Fax: (901) 407-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38119)

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Reviews

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Frequently asked questions

Does MTN ORTHOXPRESS HOLDINGS, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MTN ORTHOXPRESS HOLDINGS, LLC uses 1376279463.
Is MTN ORTHOXPRESS HOLDINGS, LLC listed as active for patients and plans?
The listing shows MTN ORTHOXPRESS HOLDINGS, LLC as active in the NPI system.
What is MTN ORTHOXPRESS HOLDINGS, LLC's primary classification?
Sports Medicine (Orthopaedic Surgery) Physician is the headline specialty for MTN ORTHOXPRESS HOLDINGS, LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect MTN ORTHOXPRESS HOLDINGS, LLC on a map?
Expect Memphis, Tennessee as a primary anchor for MTN ORTHOXPRESS HOLDINGS, LLC unless the record lists multiple sites.
Is the information about MTN ORTHOXPRESS HOLDINGS, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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