BRIAN DIERCKMAN (NPI# 1447436266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447436266 |
| Entity Type | Individual |
| Full Name | BRIAN DIERCKMAN |
| Credential | M.D. |
| Practice Address |
2004 Hayes St Ste 200 Nashville TN 37203-2689 |
| Practice Telephone | 8189016600 |
| Practice Fax Number | 8189977826 |
| Mailing Telephone | 6153241600 |
| Mailing Fax Number | 6153241661 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 59630 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 01071470A | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | A115842 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201086420 | 05 |
| Street Address |
2004 HAYES ST STE 200 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528281623 | Elite Sports Medicine and Orthopaedic Center, Plc | Specialist | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2007-04-10 |
| 1508467358 | Aaren Lashea Holmes | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-11-06 |
| 1154930519 | Thomas Paul Gonsoulin Jr. | Occupational Therapist | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-07-30 |
| 1669081790 | Kelsie Ann Frey | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-07-24 |
| 1790315695 | Corban Boyd Cressley | Physician Assistant | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-01-20 |
| 1902368921 | Kirby Marie Hamblen | Physician Assistant | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2019-04-01 |
| 1992273452 | Lindsay Lloyd | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2018-11-02 |
| 1508364068 | Allison Mccoy | Physician Assistant | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2018-01-30 |
| 1598270936 | Courtney Lynn Beshears | Specialist/Technologist | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2017-12-07 |
| 1659894475 | Corinne Nichole Grgas | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| 1417597196 | Spine and Orthopedic Specialists of Tennessee, Pllc | Orthopaedic Surgery | 2002 Richard Jones Rd Ste C300, Nashville, TN 37215-2867 | 2020-01-10 |
| 1548430291 | Jason Andrew Jones | Orthopaedic Surgery | 345 23rd Avenue N., Suite 301, Nashville, TN 37203 | 2008-03-10 |
| 1003013947 | Robert Joel Otto | Orthopaedic Surgery | 2400 Patterson Street Suite 100, Nashville, TN 37203-2786 | 2007-07-02 |
| 1891991519 | John Maurice Miller | Orthopaedic Surgery | 6666 Brookmont Ter, #707, Nashville, TN 37205-4658 | 2007-06-21 |
| 1063525665 | Thomas T Dovan | Orthopaedic Surgery | 2021 Church St., Suite 200, Nashville, TN 37203 | 2006-08-16 |
| 1982657276 | William Bailey Kurtz II | Orthopaedic Surgery | 8 City Blvd Ste 300, Nashville, TN 37209-2560 | 2006-05-18 |
| 1740257989 | David Adam West | Orthopaedic Surgery | 5435 Edmondson Pike, Nashville, TN 37211-5806 | 2006-03-07 |
| 1528030616 | Malcom E Baxter | Orthopaedic Surgery | 394 Harding Place, Ste 200, Nashville, TN 37211 | 2006-02-03 |
| 1851382279 | Joseph D Chenger | Orthopaedic Surgery | 2400 Patterson Street, Suite 300, Nashville, TN 37203 | 2005-11-03 |
| Find all providers in NASHVILLE | ||||
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| 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.