Provider Demographics
NPI:1114966355
Name:HILGENHURST, CHARLES GRAFFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:GRAFFORD
Last Name:HILGENHURST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GRAF
Other - Middle Name:
Other - Last Name:HILGENHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:519 ENON SPRINGS RD E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4446
Mailing Address - Country:US
Mailing Address - Phone:615-223-6200
Mailing Address - Fax:615-223-2100
Practice Address - Street 1:519 ENON SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4446
Practice Address - Country:US
Practice Address - Phone:615-223-6200
Practice Address - Fax:615-223-2100
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38297208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA59223Medicare UPIN
TN3893242Medicare PIN