Provider Demographics
NPI:1710981535
Name:SCHRENKER, JAMES H (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:SCHRENKER
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 1:1615 BLUFF CITY HWY
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-6055
Mailing Address - Country:US
Mailing Address - Phone:423-573-9873
Mailing Address - Fax:866-551-3252
Practice Address - Street 1:28 MIDWAY ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1706
Practice Address - Country:US
Practice Address - Phone:423-573-9873
Practice Address - Fax:423-573-9875
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051348207Q00000X
TNMD 25864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005624592Medicaid
TN3804773Medicaid
TN103I086169Medicare UPIN
TN3804773Medicaid
TNCC0450Medicare PIN
TN080089287Medicare PIN
VAGC1164Medicare PIN
0281780003Medicare PIN
TN3804773Medicare ID - Type Unspecified
G31200Medicare UPIN
VA005624592Medicaid
VA80007011Medicare ID - Type Unspecified
0281780001Medicare PIN