Bruce Wendell Randolph, MEDICAL DOCTOR - Preventive Medicine in Memphis, TN

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Bruce Wendell Randolph, MEDICAL DOCTOR is a Preventive Medicine - Occupational Medicine physician based in Memphis, Tennessee. Bruce Wendell Randolph is licensed to practice in Tennessee (license number 27686) and his current practice location is 3960 Knight Arnold Rd, Suite 103, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 547-1911.

NPI number for Bruce Wendell Randolph is 1538235171 and his current mailing address is 3960 Knight Arnold Rd, Suite 103, Memphis, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538235171.

Contact Information

Bruce Wendell Randolph, MEDICAL DOCTOR
3960 Knight Arnold Rd, Suite 103,
Memphis, TN 38118
(901) 547-1911
(901) 547-1905

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Physician's Profile

Full NameBruce Wendell Randolph
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location3960 Knight Arnold Rd, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538235171
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Bruce Wendell Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538235171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 27686 (Tennessee)Primary
2083X0100XPreventive Medicine - Occupational Medicine 10835 (Mississippi)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 16897 (Oklahoma)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Wendell Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bruce Wendell Randolph, MEDICAL DOCTOR
3960 Knight Arnold Rd, Suite 103,
Memphis, TN 38118

Ph: (901) 547-1911		Bruce Wendell Randolph, MEDICAL DOCTOR
3960 Knight Arnold Rd, Suite 103,
Memphis, TN 38118

Ph: (901) 547-1911

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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