Provider Demographics
NPI:1598893166
Name:WESTBROOK MEDICAL CENTER, PLLC
Entity Type:Organization
Organization Name:WESTBROOK MEDICAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:865-769-2600
Mailing Address - Street 1:7328 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3139
Mailing Address - Country:US
Mailing Address - Phone:865-769-2600
Mailing Address - Fax:865-769-2616
Practice Address - Street 1:7328 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3139
Practice Address - Country:US
Practice Address - Phone:865-769-2600
Practice Address - Fax:865-769-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2023-02-23
Deactivation Date:2022-12-28
Deactivation Code:
Reactivation Date:2023-02-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3729816Medicare ID - Type Unspecified