Active NPI
Brentwood Neurology
- Neurology Physician
- Brentwood, TN
National Provider Identifier
1720145964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD14087
- Legal business name
- BRENTWOOD NEUROLOGY
- Practice address
- 343 Franklin Rd
Suite 200
Brentwood, TN 37027-5213 - Phone
- (615) 661-6365
- Fax
- (615) 661-5981
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Eugene Wilson, M.D.
- Title
- President
- Phone
- (615) 661-6365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD14087 | TN | Primary |
Addresses
Primary practice location
343 Franklin Rd
Suite 200
Brentwood, TN 37027-5213
Mailing address
343 Franklin Rd
Suite 200
Brentwood, TN 37027-5250
Phone (615) 661-6365
National Provider Directory
National Provider DirectoryLocations
343 Franklin Rd
Ste 200
Brentwood, TN 37027
Phone (615) 661-6365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1720145964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 FRANKLIN RD",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275250",
"telephone_number": "615-661-6365",
"fax_number": "615-661-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 FRANKLIN RD",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275213",
"telephone_number": "615-661-6365",
"fax_number": "615-661-5981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENTWOOD NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-661-6365",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "MD14087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.