Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 42855 | TN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 42855 | TN |
NPI | 1225031073 |
---|---|
Provider Name | Thomas G Bartlett |
First Address | Nashville, TN 37203-5180 |
Second Address | Nashville, TN 37205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 10/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3001272 | (05) | TN |
6011555 | BCBS (01) | TN |
E20727 | (02) | |
P01440743 | RR MEDICARE (01) | TN |