Individual provider Active NPI

Frederick Michael Isaacson, M.D.

  • Diagnostic Radiology Physician
  • Brentwood, TN
National Provider Identifier
1376634048
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD29053 Issued in TN
Practice address
1451 Green Hill Blvd
Brentwood, TN 37027-7492
Phone
(615) 587-0845
NPI assigned
Sep 27, 2006
Last updated
May 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD29053 TN Primary
General Practice Physician 208D00000X 29053 TN

Addresses

Primary practice location

1451 Green Hill Blvd
Brentwood, TN 37027-7492

Mailing address

1451 Green Hill Blvd
Brentwood, TN 37027-7492
Phone (615) 587-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29053TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Solutions Inc Past Accepting new patients
Reddy Solutions, Inc. Diagnostic Radiology Past Accepting new patients
North Atlanta Scan Associates Inc PastSince Jul 1, 2005 Accepting new patients
Premier Medical Group PC General Practice Past Accepting new patients
Radiology & Nuclear Medicine Associates Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1376634048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 GREEN HILL BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277492",
            "telephone_number": "615-587-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GREEN HILL BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277492",
            "telephone_number": "615-587-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "FREDERICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD29053",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "29053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.