Brentwood Dermatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000014028 Issued in TN

Legal business name

BRENTWOOD DERMATOLOGY

Practice address

343 Franklin Rd
Suite 202
Brentwood, TN 37027-5213

Phone

(615) 377-3448

Fax

(615) 370-3449

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

William R McDaniel, M.D.

Title

Owner Physician

Phone

(615) 377-3448

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Kandice Bailey, MD

  • Dermatopathology Physician
  • Nashville, TN
  • NPI 1760011480
  NPD (past)
• Allison Jacobs Bodzy, F.N.P.

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1689604720
  NPD (past)
• David Michael Greeson, MD

  • Dermatology Physician
  • Nashville, TN
  • NPI 1417951450
  NPD (past)
• Judy Y Hu, M.D.

  • Dermatology Physician
  • Brentwood, TN
  • NPI 1205897840
  NPD (past)
• Kira Mayo, M.D.

  • Dermatology Physician
  • Spring Hill, TN
  • NPI 1467742221
  NPD (past)
• Lilly Zhu

  • Dermatology Physician
  • Hendersonville, TN
  • NPI 1023404597
  NPD (past)
• Kelly Deanne John, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1295764165
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841409323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275213",
            "telephone_number": "615-377-3448",
            "fax_number": "615-370-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275213",
            "telephone_number": "615-377-3448",
            "fax_number": "615-370-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "615-377-3448",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000014028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Dental Excellence, PC
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• Brentwood Dental Specialists, LLC
• Brentwood Dental Studio, PLLC
• Brentwood Dentall Pediatrics Inc
• Brentwood Endodontics LLC
• Brentwood Family Dentists
• Brentwood MD LLC
• Brentwood Neurology
• Brentwood Pediatric Care PLLC

• Specialist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.