Brian R Carlson, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD0000009382 Issued in TN

Practice address

1411 W Baddour Parkway
Lebanon, TN 37087-2513

Phone

(615) 443-2572

Fax

(615) 443-2516

NPI assigned

Jun 20, 2006

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathologists Laboratory Inc

  • Clinical Pathology/Laboratory Medicine Physician
  • Hermitage, TN
  • NPI 1568484582

  Anatomic Pathology & Clinical Pathology

  NPD Authorized official
• Community Pathology Laboratory LLC

  dba Cookeville Pathology Lab

  • Specialist
  • Cookeville, TN
  • NPI 1366440570
  NPD
• Cumberland Lung Specialists

  • Pulmonary Disease Physician
  • Hermitage, TN
  • NPI 1972799807
  NPD (past)
• Gastroenterology Center of the Midsouth PLLC

  dba Associates In Gastroenterology

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1407892516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 ANDREW JACKSON PKWY",
            "address_2": "STE G1",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761358",
            "telephone_number": "615-883-0527",
            "fax_number": "615-885-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BADDOUR PARKWAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-2572",
            "fax_number": "615-443-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000009382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynn Cansler, ADMINISTRATIVE DIREC
• Marissa Cantrell, MS, LAT, ATC
• Cardinal Ride Service, LLC
• Care We Are at Home LLC
• Carespot of Lebanon 1705 West Main Street LLC (CareNow)
• Deanna Carmack, RBT
• Mari Carter, LPC-MHSP
• Mollie Beth Carver, P.T.
• John E Casilli, APN
• Tabitha Anne Casilli, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.