Brentwood Surgery Clinic, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD16968 Issued in TN

Legal business name

BRENTWOOD SURGERY CLINIC, P.C.

Practice address

2200 Murphy Ave
Suite B
Nashville, TN 37203-1826

Phone

(615) 342-5840

Fax

(615) 342-5845

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Ole Olsen, M.D.NPI 1376618397

Title

President

Phone

(615) 342-5840

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Ole Olsen, M.D.

  • Surgery Physician
  • Nashville, TN
  • NPI 1376618397
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1396096764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MURPHY AVE",
            "address_2": "SUITE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031826",
            "telephone_number": "615-342-5840",
            "fax_number": "615-342-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MURPHY AVE",
            "address_2": "SUITE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031826",
            "telephone_number": "615-342-5840",
            "fax_number": "615-342-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SURGERY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "OLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-342-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD16968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Eyecare, LLC
• Brentwood OB GYN
• Brentwood Operations, LLC (Elmcroft of Brentwood)
• Brentwood Skin Clinic PLLC
• Brentwood Springs Detox
• Kristy Breshears
• Phillip L Bressman, M.D.
• Timothy Andrew Breuer, PH.D.
• Charlie Thomas Brewer, CRNA
• Glenn Edward Brewer, C.R.N.A.

• Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.