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NPI Code Detail

MEDICARE: BROOKE BAXTER BARTOW

MEDICARE: BROOKE BAXTER BARTOW
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician45112AL

General Provider Information

NPI Number : 1992382659
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE BAXTER BARTOW
Provider Business Mailing Address
First Line : 5301 VIRGINIA WAY STE 300
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7542
Country : US
Telephone Number : 615-221-4400
Fax Number :
Provider Business Practice Location Address
First Line : 625 19TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1900
Country : US
Telephone Number : 205-934-4303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 05/06/2026

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Directions to “ BROOKE BAXTER BARTOW ” Practice Location

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