Healthcare Provider Details

I. General information

NPI: 1093748246
Provider Name (Legal Business Name): TODD ALLEN MCGILVRA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 MARYLAND WAY STE 110
BRENTWOOD TN
37027-7565
US

IV. Provider business mailing address

5107 MARYLAND WAY STE 110
BRENTWOOD TN
37027-7565
US

V. Phone/Fax

Practice location:
  • Phone: 615-309-8279
  • Fax: 615-949-5054
Mailing address:
  • Phone: 615-309-8279
  • Fax: 615-949-5054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2598
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: