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NPI Code Detail

MEDICARE: CAREBRIDGE MEDICAL GROUP

MEDICARE: CAREBRIDGE MEDICAL GROUP
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
11041C0700XClinical Social Worker
2363LA2200XAdult Health Nurse Practitioner
3363LF0000XFamily Nurse Practitioner
4363L00000XNurse Practitioner
5207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
6207R00000XInternal Medicine Physician
7207RG0300XGeriatric Medicine (Internal Medicine) Physician
8363LP0808XPsychiatric/Mental Health Nurse Practitioner
9207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124656616
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREBRIDGE MEDICAL GROUP
Provider Business Mailing Address
First Line : 501 GREAT CIRCLE RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1317
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Provider Business Practice Location Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Authorized Official
Title or Position : CMO
Name : MELINDA HENDERSON
Credential : MD
Telephone Number : 615-585-1181
Provider Enumeration Date : 03/30/2020
Last Update Date : 04/16/2026

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Directions to “CAREBRIDGE MEDICAL GROUP ” Practice Location

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