Unknown Individual – Orthopaedic Surgery Physician, NPI 1770525834

Unknown Individual is a healthcare provider. based in Kingsport, Tennessee. specializing in Orthopaedic Surgery Physician. They hold a License No. MD012253 (TN). The NPI Number for Unknown Individual is 1770525834

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770525834
Phone
(423) 245-3161
Address
2202 JOHN B DENNIS HWY
Deactivation Date
9 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Brookdale Kingsport, 2424, North John B Dennis Highway, Preston Forest, Kingsport, Sullivan County, East Tennessee, Tennessee, 37660, United States

    SUITE 100

    KINGSPORT, TN 37660

    Phone: (423) 245-3161

    Fax: (423) 857-8129

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 37660)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1770525834 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Kingsport, Tennessee for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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