Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boulevard East Family and Occupational Medicine Inc

Organization Family Medicine Physician · NPI 1609948009

Boulevard East Family and Occupational Medicine Inc provides Family Medicine Physician services 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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