MEDICARE: MICHAEL ROBERT BISHOP 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	207VG0400X	Gynecology Physician	98837	FL
2	207VG0400X	Gynecology Physician	9356	TN

General Provider Information

NPI Number	:	1386647550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROBERT BISHOP M.D.

Provider Business Mailing Address
First Line	:	636 AYLESFORD LN
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-1404
Country	:	US
Telephone Number	:	615-320-2529
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 AYLESFORD LN # LM
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37069-1404
Country	:	US
Telephone Number	:	615-969-1137
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/15/2025

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