BRENTWOOD DERMATOLOGY (NPI# 1841409323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841409323 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD DERMATOLOGY |
| Practice Address |
343 Franklin Rd Suite 202 Brentwood TN 37027-5213 |
| Practice Telephone | 6153773448 |
| Practice Fax Number | 6153703449 |
| Mailing Telephone | 6153773448 |
| Mailing Fax Number | 6153703449 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | WILLIAM R MCDANIEL (OWNER PHYSICIAN) |
| Authorized Official Telephone | 6153773448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000014028 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | AM9522245 | 01 |
| Street Address |
343 FRANKLIN RD SUITE 202 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516225 | Roy P Burch Jr. | Obstetrics & Gynecology | 343 Franklin Rd, Ste 108, Brentwood, TN 37027-5250 | 2005-05-23 |
| 1891190955 | Tennessee Obstetrics & Gynecology Pllc | Specialist | 343 Franklin Rd, Ste 108, Brentwood, TN 37027-5250 | 2014-10-30 |
| 1508266933 | Ronald A Hunter Dds PC | Dentist | 343 Franklin Rd, Suite 103, Brentwood, TN 37027-5250 | 2014-09-04 |
| 1104225127 | John M Wuerdeman | Physical Therapist | 343 Franklin Rd, Ste. 201, Brentwood, TN 37027-5250 | 2014-08-14 |
| 1427461722 | Tennessee Oculoplastic Consultants, Plc | Ophthalmology | 343 Franklin Rd, Suite 204, Brentwood, TN 37027-5250 | 2014-06-04 |
| 1306269147 | Alyssa Cunningham | Registered Nurse | 343 Franklin Rd, Suite 203, Brentwood, TN 37027-5250 | 2014-01-30 |
| 1558684530 | Jeffrey H Hunter | Dentist | 343 Franklin Rd, Suite 103, Brentwood, TN 37027-5250 | 2010-03-05 |
| 1447586524 | Lauren K King | Nurse Practitioner | 343 Franklin Rd, Ste 210, Brentwood, TN 37027-5250 | 2009-10-26 |
| 1992962401 | Candice Sally Crewse | Pediatrics | 343 Franklin Rd, Ste 210, Brentwood, TN 37027-5250 | 2008-05-21 |
| 1063686038 | Elizabeth Louise Mcfarlin | Pediatrics | 343 Franklin Rd, Ste 210, Brentwood, TN 37027-5250 | 2008-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077790 | Nikeya Sereen Burnett | Specialist | 12 Perry St, Brentwood, NY 11717-1717 | 2019-05-08 |
| 1174079164 | Ashley Dejesus | Specialist | 184 Hancock St, Brentwood, NY 11717-2827 | 2016-08-30 |
| 1063814622 | Vanessa Ann Tajalle | Specialist | 61 Chapel Hill Dr, Brentwood, NY 11717-1925 | 2014-09-25 |
| 1851738033 | Natalie Restrepo | Specialist | 482 American Blvd, Brentwood, NY 11717-5617 | 2013-05-29 |
| 1578906921 | Kimberly Ann Baillie | Specialist | 79 Tabor St, Brentwood, NY 11717-7506 | 2013-04-15 |
| 1104180009 | Lorraine Martinez | Specialist | 38 Thomas St, Brentwood, NY 11717-1217 | 2012-06-26 |
| 1801158605 | Kiera Maureen Talley | Specialist | 124 Chapel Hill Dr, Brentwood, NY 11717-1247 | 2012-06-08 |
| 1891061891 | Dyslexia Centers of Tennessee, Inc | Specialist | 7110 Town Center Way, Suite 201, Brentwood, TN 37027-1608 | 2012-03-24 |
| 1285903567 | Maryland Farms Pediatrics | Specialist | 5056 Thoroughbred Lane, Brentwood, TN 37027 | 2011-12-15 |
| 1184916348 | Kristin Hoefler | Specialist | 22 Arthur St, Brentwood, NY 11717-1225 | 2011-05-06 |
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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.