Active NPI 1467661223 Individual Practitioner Male Practitioner

Dr. Daniel G Branham , MD

Orthopaedic Surgery - Hand Surgery • Oak Ridge, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Branham, MD is a certified Orthopaedic Surgery - Hand Surgery practicing in Oak Ridge, TN. With approximately 25 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2001, Dr. Branham delivers high-quality medical care to the local community at 988 OAK RIDGE TPKE STE 100.

Dr. Branham is affiliated with Tennessee Orthopaedic Alliance Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

988 Oak Ridge Tpke Ste 100

Oak Ridge, TN 378306919

Telephone 8654838478

Fax 8654834194

Associated Practice Facility / Clinic

🏢 Tennessee Orthopaedic Alliance Pa Facility NPI 1083200513

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Oak Ridge, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Oak Ridge, TN (60 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Branham (25 Years) 25 Yrs

Oak Ridge Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,393	238	$3.00	$0.96
99213 Established patient office or other outpatient visit, typically 15 minutes	326	236	$212.00	$81.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	240	240	$305.00	$99.75
73130 X-ray of hand, minimum of 3 views	189	134	$104.00	$32.45
20600 Aspiration and/or injection of fluid from small joint	135	81	$245.16	$48.63
20550 Injection into tendon or ligament	119	100	$220.42	$49.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	96	$309.00	$116.73
73110 X-ray of wrist, minimum of 3 views	95	74	$115.00	$34.77
73140 X-ray of finger, minimum of 2 views	63	51	$106.00	$33.88
73030 X-ray of shoulder, minimum of 2 views	61	53	$99.00	$30.62
20610 Aspiration and/or injection of fluid from large joint	60	47	$274.27	$59.67
64721 Release and/or relocation of hand nerve	53	44	$1673.00	$336.78
26055 Incision of tendon covering	43	37	$1125.00	$242.02
73080 X-ray of elbow, minimum of 3 views	33	21	$94.00	$28.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$128.00	$51.62
20605 Aspiration and/or injection of medium joint or joint capsule	25	16	$220.32	$49.94
20526 Injection of carpal tunnel	19	17	$322.11	$75.78
73721 Mri scan of leg joint without contrast	16	16	$1162.00	$127.09
26160 Removal of growth of tendon finger or hand	13	13	$1226.00	$246.97
25447 Removal of bone joints between wrist and fingers	13	12	$3245.00	$712.73
25310 Relocation of tendon of forearm and/or wrist	12	11	$2425.00	$277.16
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$293.00	$75.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,086	206	$3.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	266	221	$212.00	$82.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	237	237	$305.00	$102.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	139	$309.00	$117.05
73130 X-ray of hand, minimum of 3 views	125	94	$104.00	$33.49
73110 X-ray of wrist, minimum of 3 views	103	81	$115.00	$37.08
20600 Aspiration and/or injection of fluid from small joint	96	77	$233.94	$50.04
73140 X-ray of finger, minimum of 2 views	86	75	$106.00	$34.28
20550 Injection into tendon or ligament	79	68	$215.00	$51.09
64721 Release and/or relocation of hand nerve	78	67	$1673.00	$379.26
73030 X-ray of shoulder, minimum of 2 views	77	62	$99.00	$31.42
20610 Aspiration and/or injection of fluid from large joint	67	52	$288.96	$62.00
26055 Incision of tendon covering	43	35	$1125.00	$227.39
20605 Aspiration and/or injection of medium joint or joint capsule	31	27	$223.74	$48.78
73080 X-ray of elbow, minimum of 3 views	24	21	$94.00	$29.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$128.00	$50.91
73010 X-ray of shoulder blade	21	17	$86.00	$21.52
73221 Mri scan of arm joint without contrast	19	18	$1162.00	$123.90
73721 Mri scan of leg joint without contrast	18	18	$1162.00	$127.30
26160 Removal of growth of tendon finger or hand	14	14	$1226.00	$270.19
25310 Relocation of tendon of forearm and/or wrist	11	11	$2425.00	$298.17
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	11	11	$32.00	$22.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	544	109	$3.00	$1.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	500	106	$8.00	$6.47
99213 Established patient office or other outpatient visit, typically 15 minutes	302	227	$212.00	$84.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	259	259	$305.00	$104.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	190	$308.45	$118.74
73130 X-ray of hand, minimum of 3 views	140	102	$104.00	$33.61
73110 X-ray of wrist, minimum of 3 views	126	93	$130.19	$37.02
73140 X-ray of finger, minimum of 2 views	103	82	$106.00	$34.23
20600 Aspiration and/or injection of fluid from small joint	99	72	$248.74	$52.84
20550 Injection into tendon or ligament	85	73	$215.00	$49.30
64721 Release and/or relocation of hand nerve	84	74	$1677.71	$372.82
26055 Incision of tendon covering	82	66	$1351.15	$219.99
73030 X-ray of shoulder, minimum of 2 views	75	56	$99.00	$31.07
20610 Aspiration and/or injection of fluid from large joint	62	45	$292.74	$63.29
73080 X-ray of elbow, minimum of 3 views	29	24	$94.00	$30.15
20605 Aspiration and/or injection of medium joint or joint capsule	29	25	$211.03	$51.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$128.00	$52.54
J1040 Injection, methylprednisolone acetate, 80 mg	20	18	$18.00	$11.74
26160 Removal of growth of tendon finger or hand	16	16	$1834.75	$285.29
73721 Mri scan of leg joint without contrast	16	15	$1162.00	$135.05
64718 Release and/or relocation of elbow nerve	15	15	$2318.00	$556.62
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	13	11	$32.00	$21.15
25310 Relocation of tendon of forearm and/or wrist	11	11	$2425.00	$290.78
25447 Removal of bone joints between wrist and fingers	11	11	$3245.00	$777.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	317	237	$212.59	$85.10
J1040 Injection, methylprednisolone acetate, 80 mg	306	180	$18.00	$10.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	261	261	$305.00	$105.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	165	$309.00	$121.41
73130 X-ray of hand, minimum of 3 views	139	101	$104.00	$32.18
20600 Aspiration and/or injection of fluid from small joint	104	69	$229.20	$49.09
73140 X-ray of finger, minimum of 2 views	104	88	$106.00	$32.89
73110 X-ray of wrist, minimum of 3 views	93	70	$144.00	$35.69
20610 Aspiration and/or injection of fluid from large joint	86	51	$295.47	$65.23
20550 Injection into tendon or ligament	81	71	$215.00	$49.24
73030 X-ray of shoulder, minimum of 2 views	76	52	$99.00	$30.54
64721 Release and/or relocation of hand nerve	65	50	$1673.00	$380.68
26055 Incision of tendon covering	64	49	$1125.00	$223.06
73080 X-ray of elbow, minimum of 3 views	27	23	$94.00	$28.85
20605 Aspiration and/or injection of medium joint or joint capsule	22	16	$204.00	$50.48
26160 Removal of growth of tendon finger or hand	21	19	$1226.00	$281.16
J1020 Injection, methylprednisolone acetate, 20 mg	11	11	$8.00	$2.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	247	$136.00	$71.20
J1040 Injection, methylprednisolone acetate, 80 mg	299	164	$20.00	$11.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	254	254	$210.00	$101.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	156	$196.88	$102.90
73130 X-ray of hand, minimum of 3 views	116	93	$99.00	$31.57
73110 X-ray of wrist, minimum of 3 views	107	73	$100.00	$33.92
20600 Aspiration and/or injection of fluid from small joint	97	58	$237.11	$48.96
20610 Aspiration and/or injection of fluid from large joint	92	60	$302.45	$62.27
73140 X-ray of finger, minimum of 2 views	88	60	$73.00	$31.62
73030 X-ray of shoulder, minimum of 2 views	72	50	$121.00	$29.08
20550 Injection into tendon or ligament	68	52	$180.15	$49.02
64721 Release and/or relocation of hand nerve	54	51	$2134.00	$363.35
26055 Incision of tendon covering	43	35	$1110.00	$218.93
73080 X-ray of elbow, minimum of 3 views	29	21	$100.00	$27.82
20605 Aspiration and/or injection of medium joint or joint capsule	27	19	$233.33	$48.98
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	19	17	$42.00	$20.12
73721 Mri scan of leg joint without contrast	17	16	$1585.00	$150.08
73010 X-ray of shoulder blade	15	11	$112.00	$24.35
25447 Removal of bone joints between wrist and fingers	12	12	$2872.00	$791.24
26480 Transplant of tendon of hand, without graft	12	12	$2269.00	$360.83
29075 Application of elbow to finger cast	12	12	$258.00	$80.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$305.00	$157.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	409	295	$136.00	$69.45
J1040 Injection, methylprednisolone acetate, 80 mg	326	204	$20.00	$11.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	292	292	$210.00	$101.39
20610 Aspiration and/or injection of fluid from large joint	130	88	$295.58	$58.36
73130 X-ray of hand, minimum of 3 views	116	88	$99.00	$29.00
73030 X-ray of shoulder, minimum of 2 views	115	84	$121.00	$26.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	95	$197.00	$102.34
73110 X-ray of wrist, minimum of 3 views	89	67	$100.00	$32.04
20600 Aspiration and/or injection of fluid from small joint	81	53	$241.98	$48.79
73140 X-ray of finger, minimum of 2 views	77	60	$73.00	$29.96
20550 Injection into tendon or ligament	65	60	$183.08	$49.10
64721 Release and/or relocation of hand nerve	54	53	$2134.00	$363.37
26055 Incision of tendon covering	51	38	$1110.00	$248.81
73010 X-ray of shoulder blade	23	20	$112.00	$28.24
20605 Aspiration and/or injection of medium joint or joint capsule	23	22	$234.78	$45.91
73221 Mri scan of arm joint without contrast	21	20	$1577.00	$155.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$107.00	$42.31
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	16	14	$42.00	$19.72
26160 Removal of growth of tendon finger or hand	14	11	$970.00	$269.50
73721 Mri scan of leg joint without contrast	14	13	$1585.00	$144.31
25447 Removal of bone joints between wrist and fingers	13	13	$2872.00	$784.16
26480 Transplant of tendon of hand, without graft	13	13	$2269.00	$373.32
25600 Closed treatment of broken forearm bones	12	12	$808.00	$307.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	445	313	$136.00	$67.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	337	337	$210.00	$99.11
J1040 Injection, methylprednisolone acetate, 80 mg	302	200	$19.87	$12.91
20610 Aspiration and/or injection of fluid from large joint	138	102	$297.64	$59.55
73110 X-ray of wrist, minimum of 3 views	112	76	$100.00	$30.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	102	$197.00	$101.02
73030 X-ray of shoulder, minimum of 2 views	105	78	$121.00	$25.67
73130 X-ray of hand, minimum of 3 views	93	70	$99.00	$27.50
20600 Aspiration and/or injection of fluid from small joint	71	46	$236.62	$46.42
73140 X-ray of finger, minimum of 2 views	71	55	$73.00	$27.96
20550 Injection into tendon or ligament	60	53	$175.00	$47.61
64721 Release and/or relocation of hand nerve	37	32	$2134.00	$368.72
73080 X-ray of elbow, minimum of 3 views	29	23	$100.00	$26.52
20605 Aspiration and/or injection of medium joint or joint capsule	28	24	$233.04	$44.71
73721 Mri scan of leg joint without contrast	28	28	$1585.00	$150.62
26055 Incision of tendon covering	22	17	$1110.00	$227.90
73221 Mri scan of arm joint without contrast	19	18	$1577.00	$148.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$107.00	$40.80
25600 Closed treatment of broken forearm bones	16	16	$808.00	$303.64
73630 X-ray of foot, minimum of 3 views	16	11	$97.00	$26.02
73610 X-ray of ankle, minimum of 3 views	15	12	$100.00	$26.56
73502 X-ray of hip, 2-3 views	14	12	$120.00	$32.74
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	14	12	$42.00	$19.28
25447 Removal of bone joints between wrist and fingers	13	12	$2872.00	$771.61
26480 Transplant of tendon of hand, without graft	12	11	$2269.00	$344.14
73565 X-ray of both knees while standing	11	11	$92.00	$30.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	385	385	$210.00	$99.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	311	228	$107.00	$40.23
J1040 Injection, methylprednisolone acetate, 80 mg	292	192	$20.00	$10.87
99213 Established patient office or other outpatient visit, typically 15 minutes	213	172	$136.00	$67.50
20610 Aspiration and/or injection of fluid from large joint	179	120	$276.84	$55.62
73030 X-ray of shoulder, minimum of 2 views	131	91	$121.00	$26.33
73110 X-ray of wrist, minimum of 3 views	82	59	$100.00	$31.29
73130 X-ray of hand, minimum of 3 views	82	67	$99.00	$28.00
20600 Aspiration and/or injection of fluid from small joint	52	39	$203.85	$41.51
20550 Injection into tendon or ligament	48	40	$175.00	$46.61
64721 Release and/or relocation of hand nerve	46	45	$2134.00	$354.76
73610 X-ray of ankle, minimum of 3 views	42	25	$100.00	$28.19
73140 X-ray of finger, minimum of 2 views	38	31	$73.00	$28.00
73630 X-ray of foot, minimum of 3 views	30	20	$97.00	$24.92
26055 Incision of tendon covering	29	25	$1110.00	$238.83
73721 Mri scan of leg joint without contrast	27	26	$1585.00	$153.16
73080 X-ray of elbow, minimum of 3 views	25	20	$100.00	$28.33
73562 X-ray of knee, 3 views	23	21	$109.00	$31.55
20605 Aspiration and/or injection of medium joint or joint capsule	23	20	$225.00	$45.82
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	19	11	$175.00	$151.38
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	18	14	$42.00	$19.07
25600 Closed treatment of broken forearm bones	18	18	$808.00	$299.50
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$244.00	$95.66
73565 X-ray of both knees while standing	17	17	$92.00	$32.47
73060 X-ray of upper arm, minimum of 2 views	15	11	$100.00	$25.17
73502 X-ray of hip, 2-3 views	14	11	$120.00	$34.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$197.00	$100.51
28470 Closed treatment of broken foot bone	13	11	$604.00	$186.60
26123 Removal of connective tissue of palm and release of finger, first digit	12	12	$2660.00	$772.75
A4565 Slings	12	11	$25.00	$8.44

Medical Specialties & State Licenses

CMS Verified: 2026-02-17

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License TN 50415

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1517519 (TN)

Hospital & Practice Group Affiliations

Tennessee Orthopaedic Alliance Pa

8 City Blvd, Nashville, TN 372092558

Phone: 6153296600

Tennessee Orthopaedic Alliance Pa

1819 Clinch Ave, Knoxville, TN 379162435

Tennessee Orthopaedic Alliance Pa

988 Oak Ridge Tpke, Oak Ridge, TN 378306919

Phone: 8654838478

Tennessee Orthopaedic Alliance Pa

9430 Park W Blvd, Knoxville, TN 379234207

Phone: 8656904861

Secondary Practice Locations

988 Oak Ridge Tpke, Suite 100

Oak Ridge, TN 378306930

Phone: 8654838478

9430 Park West Blvd Ste 130

Knoxville, TN 379234205

Phone: 8656904861

9430 Park West Blvd Ste 130

Knoxville, TN 379234205

Phone: 8656904861

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

John Staley , PT

Physical Therapist

NPI 1003849803

Physical Therapist

Dr. Jean-Francois Reat , MD

Orthopaedic Surgery

NPI 1033175807

Doctor of Medicine (M.D.)

Trevor Wallace , PA-C

Physician Assistant

NPI 1396281200

Physician Assistant (Certified)

Dr. Patrick Moody , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1528455243

Doctor of Medicine (M.D.)

Dr. Michael Mcguirk , DO

Physical Medicine & Rehabilitation

NPI 1538545678

Doctor of Osteopathic Medicine (D.O.)

Dr. Edward Kahn , MD

Orthopaedic Surgery

NPI 1578549846

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Orthopaedic Surgery (License #50415 in TN)

📍

Updated Business Mailing Address October 17, 2023

Registered at PO BOX 306556, NASHVILLE, TN 372306556 (Tel: 8656940062)

📍

Updated Business Mailing Address September 04, 2020

Registered at 9129 CROSS PARK DR STE 101, KNOXVILLE, TN 379234505 (Tel: 8656940062)

📍

Updated Practice Location February 06, 2020

Registered at 988 OAK RIDGE TPKE STE 100, OAK RIDGE, TN 378306919 (Tel: 8654838478)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Orthopaedic Surgery (License #50415 in TN)

✅

NPI Profile Active October 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2017

Registered at 988 OAK RIDGE TPKE, SUITE 100, OAK RIDGE, TN 378306930 (Tel: 8654838478)

📍

Updated Business Mailing Address October 24, 2017

Registered at PO BOX 32569, KNOXVILLE, TN 379302569 (Tel: 8656940062)

👤

Provider Name / Credentials Updated October 24, 2017

Recorded as DANIEL BRANHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2017

Orthopaedic Surgery (License #ME98887 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Orthopaedic Surgery (License #ME98887 in FL)

✅

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2014

Registered at 988 OAK RIDGE TPKE, SUITE 100, OAK RIDGE, TN 378306930 (Tel: 8654838478)

📍

Updated Business Mailing Address September 11, 2014

Registered at PO BOX 32569, KNOXVILLE, TN 379302569 (Tel: 8656940062)

👤

Provider Name / Credentials Updated September 11, 2014

Recorded as DANIEL BRANHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Orthopaedic Surgery (License #50415 in TN)

🟢

Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467661223

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 21, 2007

Last Update: February 17, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 306556

Nashville, TN 372306556

Phone: 8656940062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.