Healthcare Provider Details

I. General information

NPI: 1780684415
Provider Name (Legal Business Name): ROBERT ELI CLENDENIN III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CITY BLVD STE 300
NASHVILLE TN
37209-2560
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-6600
  • Fax: 615-321-6626
Mailing address:
  • Phone: 615-329-2294
  • Fax: 615-695-1494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number19224
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: