MR. BRIAN RONALD SONG


Address: 651 Dunlop Ln, Clarksville, TN 37040-5015
Phone: 9312410391

MR. BRIAN RONALD SONG (NPI# 1215578976) 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) 1215578976
Entity Type Individual
Full Name MR. BRIAN RONALD SONG
Credential PA-C
Practice Address 651 Dunlop Ln
Clarksville
TN 37040-5015
Mailing Address 988 Haggard Dr
Clarksville
TN 37043-5623
Practice Telephone 9312410391
Mailing Telephone 9312410391
Enumeration Date 2019-10-03
Last Update Date 2020-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
988 Haggard Dr, Clarksville, TN 370435623 9312410391

Other Providers BRIAN SONG

NPI Name Taxonomy Address Enumeration
1093282642 Brian Byung Song Physical Therapist 469 Ena Rd., Suite 2809, Honolulu, HI 96815-1713 2018-10-31
1457513715 Brian June Song Ophthalmology 1450 San Pablo St Ste 4000, Los Angeles, CA 90033 2008-06-27
1083193049 Brian Keunhyung Song Pharmacist 9650 W Broad St, Glen Allen, VA 23060-4115 2018-08-10
1083108468 Brian Song Dentist 561 E Lincoln Hwy, New Lenox, IL 60451-1909 2018-06-19
1588930499 Brian Song Student in an Organized Health Care Education/Training Program 280 W Macarthur Blvd, Oakland, CA 94611-5642 2012-03-25

Office Location

Street Address 651 DUNLOP LN
City CLARKSVILLE
State TN
Zip Code 37040-5015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821098690 Dale P Cunningham Physical Medicine & Rehabilitation 651 Dunlop Ln, Clarksville, TN 37040-5015 2005-07-22
1487253183 Carlyn Alexandra Owens Physician Assistant 651 Dunlop Ln, Clarksville, TN 37040-5015 2020-10-22
1427671718 Clarksville Health System Gp Medicare Defined Swing Bed Unit 651 Dunlop Ln, Clarksville, TN 37040-5015 2020-05-21
1063041010 Caitlynn Richole Laster Dietitian, Registered 651 Dunlop Ln, Clarksville, TN 37040-5015 2020-04-02
1457994402 Caroline Elizabeth Chadwell Physician Assistant 651 Dunlop Ln, Clarksville, TN 37040-5015 2019-10-22
1942768866 Sabrina Patrise Poydras Nurse Practitioner 651 Dunlop Ln, Clarksville, TN 37040-5015 2019-03-10
1790274850 Cedar Ridge Critical Care Medical Group PC Physician Assistant 651 Dunlop Ln, Clarksville, TN 37040-5015 2018-05-04
1780181263 Allison Bledsoe Nurse Practitioner 651 Dunlop Ln, Clarksville, TN 37040-5015 2018-04-10
1528579604 Valley Emergency Physicians Tennessee PC Nurse Practitioner 651 Dunlop Ln, Clarksville, TN 37040-5015 2017-10-17
1730698671 Mackenzie Zak Rickert Physician Assistant 651 Dunlop Ln, Clarksville, TN 37040-5015 2017-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770124380 Clarksville Treatment Center, LLC Clinic/Center 495 Dunlop Lane, Clarksville, TN 37040 2019-10-04
1295384956 Dena Marie Borchick Technician 3779 Cindy Jo Dr. N, Clarksville, TN 37040 2019-09-05
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1730640566 Latoya Ewert Counselor Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 2019-03-26
1356811988 Jamie Coles Behavior Technician 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 2018-11-27
1518448554 Bandel Counseling Service Clinic/Center 113 3rd St., Suite 25, Clarksville, TN 37040 2018-08-28
1477052520 Bridget Stokes Behavior Technician 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 2018-02-05
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1902328362 Terri Brooke Roach Registered Nurse 651 Dunlop Lane, Clarksville, TN 37040 2017-07-07
1093244428 Nikkia Deneil Bell Behavior Technician 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 2017-06-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407472079 Melissa Perkins Physician Assistant 2080 Madison St, Clarksville, TN 37043-5087 2020-06-19
1932735297 Desirae Marie Sheppard Physician Assistant 1304 Sharptail Trl, Clarksville, TN 37042-8113 2020-03-19
1669011094 Jasmine Adams Physician Assistant 609 Rocky Hill Rd, Clarksville, TN 37042-6019 2020-01-02
1700369394 Michael English Physician Assistant 1871 Rains Rd, Clarksville, TN 37042-1966 2018-09-11
1770078040 Novus Behavioral Health Physician Assistant 130 Hillcrest Dr Ste 213, Clarksville, TN 37043-5083 2018-06-28
1619462546 Cody R Thomas Physician Assistant 1060 W Creek Coyote Trl Apt 1302, Clarksville, TN 37042-8266 2018-06-23
1447753314 Vincent Michael Proctor Physician Assistant 775f Weatherly Dr, Clarksville, TN 37043-8942 2018-03-16
1124539580 Lauren Michelle Huddleston Physician Assistant 1524 Madison St, Clarksville, TN 37040-3846 2017-10-12
1043720287 Kathryn Fitzpatrick Rodgers Physician Assistant 5403 Talon Ct, Clarksville, MD 21029-1142 2017-10-02
1194243709 Christina Joanne O'hara-rodriguez Physician Assistant 803 River Run, Clarksville, TN 37043-6042 2017-09-03
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Competitor

Search similar providers

City CLARKSVILLE
Zip Code 37040

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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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