MEDICARE: DR. ROBERT LEWIS CRANFIELD 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	208D00000X	General Practice Physician	MD20844	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3144660	OTHER	TN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1407854532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEWIS CRANFIELD M.D.

Provider Business Mailing Address
First Line	:	1616 GALLATIN RD N
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2104
Country	:	US
Telephone Number	:	615-865-8500
Fax Number	:	615-860-8061

Provider Business Practice Location Address
First Line	:	1616 GALLATIN RD N
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2104
Country	:	US
Telephone Number	:	615-865-8500
Fax Number	:	615-860-8061

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	02/24/2011

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