Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 27943 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | 27943 | TN |
NPI | 1649218819 |
---|---|
Provider Name | Douglas James Pearce |
First Address | Nashville, TN 37203-2131 |
Second Address | Nashville, TN 37205-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 01/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6011962 | BLUE CROSS-BLUE SHIELD (01) | TN |
C71754 | (02) | TN |
P00449697 | RR MEDICARE (01) | TN |