Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 257201 | MA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 54523 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | 257201 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 54523 | TN |
NPI | 1720284086 |
---|---|
Provider Name | Dr. Douglas Marshall Brinkley JR. |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 17/06/2021 |