Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 55571 | TN |
NPI | 1275829418 |
---|---|
Provider Name | Dr. David Wendell Bearl |
First Address | Nashville, TN 37204 |
Second Address | Nashville, TN 37232-5524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 15/10/2020 |