Healthcare Provider Details

I. General information

NPI: 1194915793
Provider Name (Legal Business Name): JOSEPH HOWARD RUPARD MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 UNION ST
SHELBYVILLE TN
37160-2607
US

IV. Provider business mailing address

883 UNION ST
SHELBYVILLE TN
37160-2607
US

V. Phone/Fax

Practice location:
  • Phone: 931-685-1145
  • Fax: 931-685-8014
Mailing address:
  • Phone: 931-685-1145
  • Fax: 931-685-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000024783
License Number StateTN

VIII. Authorized Official

Name: JOSEPH HOWARD RUPARD
Title or Position: OWNER
Credential:
Phone: 931-685-1145