Donegan, Brett Tyler
Donegan, Brett Tyler is an individual health care provider with primary practice located at 1840 Medical Center Pkwy Ste 200 , Murfreesboro TN 37129-3237. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Donegan, Brett Tyler can be contacted via phone (615) 849-7490.Contact Information
Primary practice address
1840 Medical Center Pkwy Ste 200
Murfreesboro TN 37129-3237
Phone: (615) 849-7490
Fax: (615) 890-7838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 2017009605 | Missouri |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 38728 | Alabama |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 63461 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 63461 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 38728 | Alabama |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 38728 | Alabama |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 63461 | Tennessee |
Profile Details
| NPI number | 1922397710 |
|---|---|
| LBN Legal business name | Donegan, Brett Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Jan 2nd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922397710 | NPPES |
| Alabama | Other | 14543732 | CAQH |
| Alabama | Other | 51234950 | CAQH |
| Alabama | MEDICAID | 240296 | CAQH |
| Alabama | MEDICAID | 240419 | CAQH |
| Alabama | Other | 51234991 | CAQH |
| Alabama | MEDICAID | 241692 | CAQH |
| Alabama | Other | 51235122 | CAQH |
| Alabama | Other | 51234994 | CAQH |
| Alabama | Other | 51235105 | CAQH |
| Alabama | MEDICAID | 240300 | CAQH |
| Alabama | MEDICAID | 243980 | CAQH |
| Alabama | Other | 51235106 | CAQH |
| Alabama | MEDICAID | 244014 | CAQH |
| Alabama | Other | 51234990 | CAQH |
| Alabama | Other | 51234992 | CAQH |
| Alabama | Other | 51234993 | CAQH |
| Alabama | Other | 51234995 | CAQH |
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