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NPI Code Detail

MEDICARE: BRIAN DIERCKMAN M.D.

MEDICARE: BRIAN DIERCKMAN 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
1207X00000XOrthopaedic Surgery Physician59630TN
2207X00000XOrthopaedic Surgery Physician01071470AIN
3207X00000XOrthopaedic Surgery PhysicianA115842CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447436266
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN DIERCKMAN M.D.
Provider Business Mailing Address
First Line : 2004 HAYES ST STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2689
Country : US
Telephone Number : 615-324-1600
Fax Number : 615-324-1661
Provider Business Practice Location Address
First Line : 2004 HAYES ST STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2689
Country : US
Telephone Number : 818-901-6600
Fax Number : 818-997-7826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 08/14/2019

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Directions to “ BRIAN DIERCKMAN M.D.” Practice Location

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