WILLIAM RUSSELL BACON (NPI# 1609014489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609014489 |
| Entity Type | Individual |
| Full Name | WILLIAM RUSSELL BACON |
| Credential | MD |
| Practice Address |
210 25th Ave N Ste 602 Nashville TN 37203 |
| Mailing Address |
210 25th Ave N 602 Nashville TN 37203-1606 |
| Practice Telephone | 6153120600 |
| Practice Fax Number | 6153203259 |
| Mailing Telephone | 6158439387 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
47338 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100192990 | 05 | |
| TN | TSC MEDICAID | 1525265 | 01 |
| TN | 1525265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902168669 | William John Bacon | Contractor | 902 E 12th Ave, Webster, SD 57274-2300 | 2012-06-08 |
| 1427197631 | William Louis Bacon | Orthopaedic Surgery | 206 E Adair St, Valdosta, GA 31601-4508 | 2007-02-05 |
| 1932258084 | William Carl Bacon | Marriage & Family Therapist | 50 Hurt Plz Se, Suite 800, Atlanta, GA 30303-2946 | 2007-01-09 |
| 1295898344 | William Harrison Bacon IIi | Dentist | 1250 Thompson Rd, Coos Bay, OR 97420-2538 | 2006-12-19 |
| 1730181942 | William T Bacon | Physician Assistant | 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 | 2005-06-01 |
| 1699957035 | William Joseph Bacon | Pharmacist | 600 Roe Ave, Elmira, NY 14905-1629 | 2007-11-28 |
| 1073643052 | William L Bacon | Dentist | 183 Addison, Elmhurst, IL 60126 | 2007-03-07 |
| 1396769634 | William W Bacon | Family Medicine | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | 2006-07-27 |
| 1720002470 | William Albert Bacon | Registered Nurse | 3810 Central Ave, Ste H, Hot Springs, AR 71913-6921 | 2006-07-26 |
| 1457342354 | William Gordan Bacon | Family Medicine | 935 Elizaville Ave, Flemingsburg, KY 41041-9210 | 2005-10-31 |
| Street Address |
210 25TH AVE N STE 602 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801384 | Lee M Lefler | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2005-06-14 |
| 1265892723 | Thomas Kerry Evans | Nurse Practitioner | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2016-02-26 |
| 1194144295 | Clare Murphy Martinez | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2014-04-16 |
| 1740609684 | Stephen Cole | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2014-04-08 |
| 1659799559 | Steven M. Link | Registered Nurse | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2014-03-29 |
| 1588096697 | Nakul Edula Reddy | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2013-07-31 |
| 1992065445 | John Clarke Jackson | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2012-05-17 |
| 1750673083 | Michael Douglas Hellman Jr. | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203-1631 | 2011-05-04 |
| 1346530284 | Samuel Walton Fairbrother | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2011-04-12 |
| 1316236086 | Anjali Khurana | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2011-04-04 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1760892772 | Raj Chandravadan Bant | Radiology | 28 White Bridge Pike Ste 111, Nashville, TN 37205-1466 | 2014-04-29 |
| 1376986828 | Neal Weston Langdon | Radiology | 28 White Bridge Rd Ste 111, Nashville, TN 37205-1466 | 2013-04-15 |
| 1528300555 | Jason Robert Ross | Radiology | 1161 21st Ave S Ste Ccc 1108, Nashville, TN 37232-0709 | 2013-03-16 |
| 1366788408 | Ccf Tennessee Medical Services PC | Radiology | 843 Rodney Dr, Nashville, TN 37205-3057 | 2012-12-18 |
| 1790040947 | Ashish Patel | Radiology | 1161 21st Ave S, Mcn Suite Ccc-1118, Nashville, TN 37232 | 2012-07-12 |
| 1972867398 | Matthew Ryan Prater | Radiology | Department of Radiology 1161 21st Ave S, Nashville, TN 37232-4500 | 2012-06-29 |
| 1467715722 | Elizabeth Lio | Radiology | Department of Radiology Medical Center Nort, Nashville, TN 37232-0001 | 2012-06-21 |
| 1104183235 | Michael Emerson Hogan | Radiology | Medical Center North 1161 21st Ave S, Nashville, TN 37232-3998 | 2012-04-13 |
| 1932424629 | Katherine Collier Frederick-dyer | Radiology | Department of Radiology Vanderbilt Univ Ctr, 1161 Medical Center Drive, Nashville, TN 37232-2675 | 2010-04-06 |
| 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.