BRENT WALL (NPI# 1902947757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902947757 |
| Entity Type | Individual |
| Full Name | BRENT WALL |
| Credential | DO |
| Practice Address |
353 New Shackle Island Road Ste 122-b Hendersonville TN 37075 |
| Mailing Address |
131 Saundersville Road Ste 160 Hendersonville TN 37075 |
| Practice Telephone | 6158243737 |
| Practice Fax Number | 8886876133 |
| Mailing Telephone | 6158243737 |
| Mailing Fax Number | 8886876133 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2491 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497804637 | Brent Wall | Dentist | 9696 Braun Road, San Antonio, TX 78254 | 2007-01-09 |
| 1346263100 | Brent N Wall | Chiropractor | 205 N Main St, Spanish Fork, UT 84660-1726 | 2006-07-25 |
| Street Address |
353 NEW SHACKLE ISLAND ROAD STE 122-B |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871579409 | Helion W Cruz | Specialist | 353 New Shackle Island Road, Suite 244c, Hendersonville, TN 37075-2380 | 2005-12-15 |
| 1861578999 | Bluegrass Women's Health Group | Nurse Practitioner | 353 New Shackle Island Road, Suite 244c, Hendersonville, TN 37075-0000 | 2006-10-31 |
| 1639104268 | Carol Lynne Medley | Nurse Practitioner | 353 New Shackle Island Road, Suite 140 C, Hendersonville, TN 37075-3181 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528185352 | John Davis Bell | Anesthesiology | 658 Sunset Dr, Hendersonville, NC 28791-1622 | 2007-03-25 |
| 1912057563 | Jacob J Hansen | Anesthesiology | 136 Ridgeview Hill Dr, Hendersonville, NC 28791-7807 | 2007-01-12 |
| 1205869906 | Jerry Harvey Titel | Anesthesiology | 1303 7th Ave East, Ste A, Hendersonville, NC 28792-2893 | 2006-07-08 |
| 1487686929 | Max W Hammonds | Anesthesiology | 13 Windjammer Way, Hendersonville, NC 28792-9880 | 2006-07-07 |
| 1104854124 | Anesthesia Services Associates Pllc | Anesthesiology | 131 Saundersville Road, Suite 160, Hendersonville, TN 37075 | 2006-06-29 |
| 1821037888 | Mark Edward Brown | Anesthesiology | 2619 Bearwallow Mountain Rd, Hendersonville, NC 28792-1097 | 2006-06-05 |
| 1780634691 | Ernest J Oddono Jr. | Anesthesiology | 131 Saundersville Rd, Suite 180, Hendersonville, TN 37075-8903 | 2006-05-11 |
| 1275514598 | Gregory John Petrie | Anesthesiology | 895 Silverglen Way, Hendersonville, NC 28792-5908 | 2005-11-14 |
| 1316173438 | Joel Justin Hopper | Anesthesiology | 100 Hospital Dr, C/o Park Ridge Hospital, Hendersonville, NC 28792-5272 | 2009-06-03 |
| 1629272117 | Andrew Korzyniowski | Anesthesiology | 100 Hospital Dr, Hendersonville, NC 28792-5272 | 2007-06-11 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.