Jefferson, Brian Keith

Jefferson, Brian Keith is an individual health care provider with primary practice located at 2400 Patterson St Suite 502, Nashville TN 37203-1562. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jefferson, Brian Keith can be contacted via phone (615) 515-1900.

Contact Information

Primary practice address
2400 Patterson St Suite 502 Nashville TN 37203-1562
Phone: (615) 515-1900
Fax: (615) 515-1993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42338 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 42338 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 42338 Tennessee

Profile Details

NPI number 1508830407
LBN Legal business name Jefferson, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 9th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508830407 NPPES
Tennessee Other P00401655 RR MEDICARE
Tennessee MEDICAID 3000204 RR MEDICARE

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