MEDICARE: MICHAEL E NIEDERMEYER MD

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	207RP1001X	Pulmonary Disease Physician	13364	TN
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	13364	TN

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	6017976	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1457355257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E NIEDERMEYER MD

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-851-6033
Fax Number	:	615-851-2018

Provider Business Practice Location Address
First Line	:	300 20TH AVE N
Second Line	:	SUITE G-4
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2131
Country	:	US
Telephone Number	:	615-284-5098
Fax Number	:	615-284-5385

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/11/2017

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Directions to “ MICHAEL E NIEDERMEYER MD” Practice Location

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