Provider Demographics
NPI:1619959699
Name:CLEVELAND, ROBERT REED (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:REED
Last Name:CLEVELAND
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 1:1747 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2563
Mailing Address - Country:US
Mailing Address - Phone:615-893-1600
Mailing Address - Fax:615-225-6887
Practice Address - Street 1:1747 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2563
Practice Address - Country:US
Practice Address - Phone:615-893-1600
Practice Address - Fax:615-225-6887
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000014049208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN31917891Medicare PIN
E08608Medicare UPIN