Individual provider Active NPI

Brian Thomas Fengler, MD

  • Emergency Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1497968564
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43353 Issued in TN
Practice address
400 N. Highland Ave
Middle Tennessee Medical Center
Murfreesboro, TN 37130
Phone
(434) 924-2047
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43353 TN Primary

Addresses

Primary practice location

400 N. Highland Ave
Middle Tennessee Medical Center
Murfreesboro, TN 37130

Mailing address

One Vantage Way
Suite B240 Middle Tennessee Emergency Physicians, PC
Nashville, TN 37228-1562
Phone (434) 924-8344

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
43353TNMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1497968564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANTAGE WAY",
            "address_2": "SUITE B240 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281562",
            "telephone_number": "434-924-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. HIGHLAND AVE",
            "address_2": "MIDDLE TENNESSEE MEDICAL CENTER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "434-924-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENGLER",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "43353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.