Organization Active NPI

Southern Plastic & Reconstructive Surgical Instititute

  • Plastic and Reconstructive Surgery Physician
  • Franklin, TN
National Provider Identifier
1659675445
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2115 Issued in TN
Legal business name
SOUTHERN PLASTIC & RECONSTRUCTIVE SURGICAL INSTITITUTE
Practice address
4601 Carothers Pkwy
Suite 285
Franklin, TN 37067-5976
Phone
(615) 791-9090
Fax
(615) 791-8393
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Nathan Ray Brought, DONPI 1285834754
Title
Owner/Physician
Phone
(615) 791-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 2115 TN Primary

Addresses

Primary practice location

4601 Carothers Pkwy
Suite 285
Franklin, TN 37067-5976

Mailing address

4601 Carothers Pkwy
Suite 285
Franklin, TN 37067-5976
Phone (615) 791-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110121000059 TN Part B Supplier - Clinic/Group Practice 4284813387 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

4601 Carothers Pkwy
Ste 285
Franklin, TN 37067
Phone (615) 791-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1659675445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY",
            "address_2": "SUITE 285",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675976",
            "telephone_number": "615-791-9090",
            "fax_number": "615-791-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY",
            "address_2": "SUITE 285",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675976",
            "telephone_number": "615-791-9090",
            "fax_number": "615-791-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLASTIC & RECONSTRUCTIVE SURGICAL INSTITITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "BROUGHT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-791-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.