BRIAN ASHFORD BRODINE


Address: 875 Union Ave, Memphis, TN 38103-3513
Phone: 5855094903

BRIAN ASHFORD BRODINE (NPI# 1699240879) 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) 1699240879
Entity Type Individual
Full Name BRIAN ASHFORD BRODINE
Credential DDS
Practice Address 875 Union Ave
Memphis
TN 38103-3513
Mailing Address 118 Fleets Island Dr
Memphis
TN 38103-9032
Practice Telephone 5855094903
Mailing Telephone 5855094903
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
10768 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN FEE FOR SERVICE 10768 01

Office Location

Street Address 875 UNION AVE
City MEMPHIS
State TN
Zip Code 38103-3513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366430647 Lawrence W Weeda Jr. Dentist 875 Union Ave, Room N-328, Memphis, TN 38163-0001 2005-10-11
1750907200 Meghan Gahm Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2020-06-21
1134768617 Deborah Kay Rose Dental Hygienist 875 Union Ave, Memphis, TN 38103-3513 2019-12-31
1982249769 Leila Marie Sears Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-11-15
1124680632 Anna Claire Eaton Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-07-03
1164080867 Bryce James Lamer Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-05-29
1609351832 Jared Moffett Dentist 875 Union Ave, Memphis, TN 38103-3513 2018-10-03
1437648045 Jill Emily Gibson Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2018-05-09
1093244972 David Rua Perez Student in an Organized Health Care Education/Training Program 875 Union Ave, Memphis, TN 38103-3513 2017-06-05
1396299830 Angela Gullard Dentist 875 Union Ave, Advanced Prosthodontics Program, Memphis, TN 38103-3513 2016-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
Find all providers in zip 38103

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245374271 Marc A. Cohen Dentist 5356 Estate Office Dr, Suite 1, Memphis, TN 38119-3664 2007-02-15
1992871388 William Rayford Priester IIi Dentist 5866 Ridge Bend Rd, Suite 1, Memphis, TN 38120-9477 2006-11-28
1750469953 Michael A Smith Dentist 6244 Poplar Ave, Memphis, TN 38119-4732 2006-11-02
1396820312 Felix Springfield Dentist 780 Ridge Lake Blvd Ste 201, Memphis, TN 38120-9426 2006-10-26
1548373228 Michael A Mcbride Dentist 5336 Estate Office Dr, Suite 1, Memphis, TN 38119-3635 2006-08-16
1003846569 David Richard Cagna Dentist Uthsc College of Dentistry, 875 Union Avenue, Memphis, TN 38163-0001 2006-07-03
1134128192 Carl Walter Schulter Dentist 795 Ridge Lake Blvd, Memphis, TN 38120-9475 2005-07-20
1982249769 Leila Marie Sears Dentist 875 Union Ave, Memphis, TN 38103-3513 2019-11-15
1881183960 Mohamed Amer Shafter Dentist 875 Union Ave Fl 5, Memphis, TN 38103-3513 2018-05-04
1093965857 Nicholas Luke Egbert Dentist 7535 Poplar Ave, Memphis, TN 38138-3812 2008-09-29
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38103

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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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