MEDICARE: DR. JAMES CLIFFORD BALVICH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	49938	TN
2	208M00000X	Hospitalist Physician	79320	AZ

General Provider Information

NPI Number	:	1033434873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CLIFFORD BALVICH M.D.

Provider Business Mailing Address
First Line	:	2525 DESALES AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-1161
Country	:	US
Telephone Number	:	423-495-2620
Fax Number	:	423-495-2625

Provider Business Practice Location Address
First Line	:	2525 DESALES AVENUE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404
Country	:	US
Telephone Number	:	423-495-2620
Fax Number	:	423-495-2625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	03/23/2026

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