Brentwood Childrens Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRENTWOOD CHILDRENS CLINIC

Practice address

95 Seaboard LN
Sutie 201
Brentwood, TN 37027-3031

Phone

(615) 261-1210

Fax

(615) 261-1222

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Angela L. Stout, LPN

Title

Billing Manager

Phone

(615) 261-1214

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1003958901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN",
            "address_2": "SUTIE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273031",
            "telephone_number": "615-261-1210",
            "fax_number": "615-261-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN",
            "address_2": "SUTIE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273031",
            "telephone_number": "615-261-1210",
            "fax_number": "615-261-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-261-1214",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Breese, CNIM
• Megan Gladden Brennard, M.D.
• Summer Makena Brent
• Brentwood Advanced Chiropractic LLC
• Brentwood Allergy & Asthma, P.C.
• Brentwood Chiropractic
• Brentwood Chiropractic Clinic
• Brentwood Chiropractic, LLC (HealthSource of Maryland Farms)
• Brentwood Counseling Associates LLC
• Brentwood Dental Associates, PPLC (Sleep Nashville)

• Pediatrics Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.