BRENT E PENNINGTON (NPI# 1881670719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881670719 |
| Entity Type | Individual |
| Full Name | BRENT E PENNINGTON |
| Credential | M.D. |
| Practice Address |
2301 21st Ave S Nashville TN 37212-4908 |
| Practice Telephone | 6153279797 |
| Practice Fax Number | 6156130329 |
| Mailing Telephone | 6153279797 |
| Mailing Fax Number | 6156130329 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 39587 | TN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
39587 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386629350 | Brent Pennington | Internal Medicine | 116 Long Pond Rd Ste 4, Plymouth, MA 02360-2663 | 2005-12-13 |
| 1144471400 | Brent W Pennington | Dentist | 37 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2008-10-06 |
| 1205098753 | Brent Lee Pennington | Family Medicine | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2008-06-26 |
| Street Address |
2301 21ST AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992069876 | Rachel Redenius Howald | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2012-06-26 |
| 1649421066 | Kalyn B Crosby | Dermatology | 2301 21st Ave S, Nashville, TN 37212 | 2008-10-03 |
| 1346412558 | Krista Harmon Koleas | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2008-03-27 |
| 1851507073 | Sara M Kantrow | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-05-15 |
| 1952458846 | Adrian O Rodriguez | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-01-04 |
| 1578610390 | Lorien Y Sites | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-01-04 |
| 1114967023 | Jennifer Dempsey Martin | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-06-08 |
| 1497700231 | Nashville Skin and Cancer, Plc | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-05-23 |
| 1235103490 | Walter Lee Sims | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-02-15 |
| 1306822234 | Jason B Robbins | Dermatology | 2301 21st Ave S, Nashville, TN 37212 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| 1679742423 | Affiliated Dermatologists of Green Hills PC | Dermatology | 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 | 2008-02-26 |
| 1497700231 | Nashville Skin and Cancer, Plc | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
| 1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
| 1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1184608416 | Julie M Pena | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2005-11-30 |
| 1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| 1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
| 1801362231 | Innova Dermatology PC | Dermatology | 105 Maple Row Blvd, Hendersonville, TN 37075-3853 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
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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.