MEDICARE: TODD GREGORY TOLBERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	28543	TN
2	207RC0000X	Cardiovascular Disease Physician	28543	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00669733	OTHER	TN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6011834	OTHER	TN	BLUE CROSS-BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427051432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD GREGORY TOLBERT M.D.

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5180
Country	:	US
Telephone Number	:	615-284-7260
Fax Number	:	615-284-7501

Provider Business Practice Location Address
First Line	:	300 20TH AVE N FL 789
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2131
Country	:	US
Telephone Number	:	615-284-1400
Fax Number	:	615-284-1420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/13/2019

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Directions to “ TODD GREGORY TOLBERT M.D.” Practice Location

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