Healthcare Provider Details

I. General information

NPI: 1023014263
Provider Name (Legal Business Name): ROBERT BRUCE WEEKS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST SUITE 300
NASHVILLE TN
37203-1562
US

IV. Provider business mailing address

PO BOX 80426
CHATTANOOGA TN
37414-7426
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-6300
  • Fax:
Mailing address:
  • Phone: 423-495-8659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1212
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA0000001212
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA001212
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: