DR. BRIAN KEITH DOCKERY


Address: 228 W 4th St, Suite 200, Cookeville, TN 38501-2488
Phone: 9313720405

DR. BRIAN KEITH DOCKERY (NPI# 1083743413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083743413
Entity Type Individual
Full Name DR. BRIAN KEITH DOCKERY
Credential M.D.
Practice Address 228 W 4th St
Suite 200
Cookeville
TN 38501-2488
Practice Telephone 9313720405
Practice Fax Number 9313720463
Mailing Telephone 9313720405
Mailing Fax Number 9313720463
Enumeration Date 2007-03-02
Last Update Date 2017-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
31307 TN Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
31307 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 1506018 05
TN BCBS 4288696 01

Office Location

Street Address 228 W 4TH ST
SUITE 200
City COOKEVILLE
State TN
Zip Code 38501-2488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982605382 Jennifer L Mabry Registered Nurse 228 W 4th St, Ste 200, Cookeville, TN 38501-2488 2005-08-09
1679904494 Karli Qualls Physician Assistant 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 2013-12-04
1043652738 Angeli B Swallows Nurse Practitioner 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 2013-07-23
1841497203 Brian R Dulin Internal Medicine 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 2007-06-29
1588733877 Tennessee Heart Pllc Specialist 228 W 4th St, Suite 200, Cookeville, TN 38501-2489 2006-11-08
1104925536 Mark Wathen Internal Medicine 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 2006-09-22
1265480867 Steven Bickel Physician Assistant 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596711 Results-ast Jv, LLC Physical Therapist 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 2020-10-21
1376167080 Melinda Jane Jetter Registered Nurse 320 North Willow Avenue, Cookeville, TN 38501 2020-05-29
1366950875 Tara Beth Smith Occupational Therapist 315 N Washington Ave Ste 240, Cookeville, TN 38501 2018-01-18
1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1659896207 Dustin Chase Rich Physical Therapist 105 S. Willow Ave, #100, Cookeville, TN 38501 2017-08-04
1487009668 Holly Young Physical Therapist 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 2016-04-26
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1881099885 Carlos Alberto Podesta Internal Medicine 238 W 4th St Ste 200, Cookeville, TN 38501 2014-11-03
1124445002 Shashank Sarvepalli Internal Medicine 1 Medical Center Blvd Ste D, Cookeville, TN 38501 2014-03-27
1689095762 Kendra Hicks Licensed Practical Nurse 701 County Services Drive, Cookeville, TN 38501 2013-12-17
Find all providers in zip 38501

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700823960 Thomas Little Internal Medicine 228 W. 4th Street, Suite 200, Cookeville, TN 38501 2006-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972145456 Cardiovascular & Vein Associates Pllc Internal Medicine 2785 Summer Oaks Dr, Bartlett, TN 38134-2883 2019-10-16
1063910529 James Joseph Acker I Internal Medicine 205 Todaly Cir, Loudon, TN 37774-2990 2018-01-30
1215445192 Cardiac Cin of Middle Tennessee LLC Internal Medicine 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 2018-01-13
1588172464 Cardiac Cin of West Tennessee LLC Internal Medicine 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032 2018-01-13
1922520873 Telemedico Physicians Professional Corporation Internal Medicine 5490 Shady Grove Ter, Memphis, TN 38120-2414 2017-07-12
1114455326 Nashville Heart and Vascular Internal Medicine 397 Wallace Rd Ste C216, Nashville, TN 37211-8019 2017-06-01
1942631387 Cvc Imaging LLC Internal Medicine 9203 Sheridan Park Ct, Brentwood, TN 37027-1748 2013-12-11
1730460718 Ronald Craig Sebold Internal Medicine 7450 Chapman Hwy, #309, Knoxville, TN 37920-6614 2011-09-02
1467494070 Apex Cardiology PC Internal Medicine 327 Summar Dr, Jackson, TN 38301-3930 2006-06-11
1801863105 Eric Raul Guerra Internal Medicine 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 2006-03-06
Find all providers with the same taxonomy

Competitor

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City COOKEVILLE
Zip Code 38501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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