Individual provider Active NPI

Bryan Tole Fisher Sr., MD

  • Vascular Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1376752980
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD46725 Issued in TN
Practice address
353 New Shackle Island Rd Ste 102a
Hendersonville, TN 37075-2359
Phone
(615) 500-7336
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD46725 TN Primary
Surgery Physician 208600000X MD46725 TN

Addresses

Primary practice location

353 New Shackle Island Rd Ste 102a
Hendersonville, TN 37075-2359

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120716000275 TN Practitioner - Vascular Surgery 5890951008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surgical Alliance of Middle Tennessee PLCGroup PAC ID 4284647967, 7 clinicians

Practice addresses (Care Compare)

417 Northcrest Dr
Springfield, TN 37172-3973
Phone (615) 384-8211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
74.2
Promoting interoperability
99
Improvement activities
40
Cost
66.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD46725TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Alliance of Middle Tennessee, PLC Surgery CurrentSince Feb 1, 2024 Accepting new patients
Hendersonville Hospital Corporation Past Accepting new patients

Locations

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

353 New Shackle Island Rd
Ste 102A
Hendersonvlle, TN 37075
Phone (615) 384-8211

417 Northcrest Dr
Springfield, TN 37172
Phone (615) 382-5204

Interoperability endpoints

  • Direct secure messaging: bryan.fisher.1@19798.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1376752980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 102A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752359",
            "telephone_number": "615-500-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRYAN",
        "middle_name": "TOLE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD46725",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD46725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.