Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard East Family and Occupational Medicine Inc

Organization Family Medicine Physician · NPI 1609948009

Boulevard East Family and Occupational Medicine Inc is a Family Medicine Physician in Morristown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 Bowman St Ste 3
Morristown, TN 37813-3856
Phone: (423) 318-1185
Fax: (423) 318-1015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Community Health Clinic/Center Taxonomy 261QC1500X · Licence MD0000040290 (TN)
Corporate Health Clinic/Center Taxonomy 261QC1800X · Licence MD0000040290 (TN)
Dental Clinic/Center Taxonomy 261QD0000X · Licence DS0000007577 (TN)
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center Taxonomy 261QM1103X · Licence MD0000040290 (TN)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence MD 0000040290 (TN)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence MD0000040290 (TN)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence MD0000040290 (TN)
Occupational Medicine Clinic/Center Taxonomy 261QX0100X · Licence MD0000040290 (TN)

Record details

NPI number1609948009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moses Benavides — Ceo · (423) 318-1185
Other names Moses Benavides Md
NPI enumeratedNovember 14, 2006
Last updated in NPPESMarch 7, 2023
Mailing address1443 W Morris Blvd, Suite B, Morristown, TN 37813

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