DR. BRYAN HALE MERRICK (NPI# 1467455287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467455287 |
| Entity Type | Individual |
| Full Name | DR. BRYAN HALE MERRICK |
| Credential | MD |
| Practice Address |
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649 |
| Practice Telephone | 7313527907 |
| Practice Fax Number | 7313524459 |
| Mailing Telephone | 7313527907 |
| Mailing Fax Number | 7313524459 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD15682 | TN | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD15682 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3380640 | 05 | |
| TN | 3011498 | 05 | |
| TN | MEDICAL LICENSE NUMBER | MD15682 | 01 |
| Street Address |
205 HOSPITAL DR STE A |
| City | MC KENZIE |
| State | TN |
| Zip Code | 38201-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588111850 | Christy Michelle Dougherty | Nurse Practitioner | 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201-1649 | 2016-09-05 |
| 1083079487 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 205 Hospital Dr, Suite Q, Mc Kenzie, TN 38201-1649 | 2015-12-30 |
| 1225400484 | Beth Mitchell Graves | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-10-28 |
| 1609253509 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-04-29 |
| 1164814158 | Laura Baker | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-02-27 |
| 1841696192 | Mckenzie Medical Center | Internal Medicine | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-11-14 |
| 1144644246 | Lori Beth Holladay | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-02-10 |
| 1750710331 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Mc Kenzie, TN 38201-1649 | 2013-11-05 |
| 1013359538 | Kelly E Rawls | Physician Assistant | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2013-07-25 |
| 1033418447 | Advanced Diagnostic Center LLC | Clinic/Center | 205 Hospital Dr, Suite C, Mc Kenzie, TN 38201-1649 | 2011-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912410887 | Tester Chiropractic, Pllc | Chiropractor | 62 Hospital Dr, Mc Kenzie, TN 38201 | 2017-11-14 |
| 1669910907 | Sherry Denise Connell | Behavioral Analyst | 145 Bethel Court, Bethel Autism Institute, Mckenzie, TN 38201 | 2017-02-07 |
| 1891249645 | Jennifer Rene Jennings | Nurse Practitioner | 205 Hospital Drive, Suite A, Mckenzie, TN 38201 | 2016-08-10 |
| 1336525211 | One Chiropractic, Pllc | Chiropractor | 62 Hospital Dr., Mckenzie, TN 38201 | 2015-08-03 |
| 1538567367 | Ashley Tester | Chiropractor | One Chiropractic, 62 Hospital Drive, Mckenzie, TN 38201 | 2014-12-10 |
| 1407996762 | Trent Wade Borders | Radiology | 205 Hospital Drvie, Suite A, Mckenzie, TN 38201 | 2007-02-07 |
| 1740382944 | James D Padgett | Dentist | 1934 Cedar Sta, Mckenzie, TN 38201 | 2006-09-01 |
| 1164533733 | Ambulance Services of Mckenzie, Inc. | Ambulance | 161 Hospital Drive, Mckenzie, TN 38201 | 2006-08-31 |
| 1245894724 | Gyu Chang Jo | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 | 2019-04-30 |
| 1194244772 | Christian Care Center of Mckenzie LLC | Nursing Facility/Intermediate Care Facility | 150 Oak Manor Rd, Mc Kenzie, TN 38201 | 2017-09-14 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841696192 | Mckenzie Medical Center | Internal Medicine | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
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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.