Provider Demographics
NPI:1407854532
Name:CRANFIELD, ROBERT LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEWIS
Last Name:CRANFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 GALLATIN RD N
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2104
Mailing Address - Country:US
Mailing Address - Phone:615-865-8500
Mailing Address - Fax:615-860-8061
Practice Address - Street 1:1616 GALLATIN RD N
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2104
Practice Address - Country:US
Practice Address - Phone:615-865-8500
Practice Address - Fax:615-860-8061
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD20844208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3144660OtherBLUE CROSS BLUE SHIELD
TN103I015616Medicare PIN
TND21841Medicare UPIN
TN3144660OtherBLUE CROSS BLUE SHIELD
TN3848845Medicare PIN
TN3848848Medicare PIN
TN3848847Medicare PIN
TN103I014476Medicare PIN
TN103I010902Medicare PIN