Ponder, Terry Brent
Ponder, Terry Brent is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Ponder, Terry Brent can be contacted via phone (615) 695-4977.Contact Information
Primary practice address
5301 Virginia Way Suite 300
Brentwood TN 37027-7541
Phone: (615) 695-4977
Fax: (615) 263-3348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 35085815 | Ohio |
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 4301090981 | Michigan |
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 36726 | Missouri |
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 36726 | Missouri |
Profile Details
NPI number | 1336108349 |
---|---|
LBN Legal business name | Ponder, Terry Brent |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Apr 6th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336108349 | NPPES |
Ohio | MEDICAID | 2549095 | |
Ohio | MEDICAID | 4715743 |
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