Healthcare Provider Details

I. General information

NPI: 1164514584
Provider Name (Legal Business Name): RONALD MURRAY SALOMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 EASTPARK DR STE 300
BRENTWOOD TN
37027-7535
US

IV. Provider business mailing address

4535 HARDING PIKE STE 102
NASHVILLE TN
37205-2120
US

V. Phone/Fax

Practice location:
  • Phone: 615-239-5151
  • Fax: 615-246-5895
Mailing address:
  • Phone: 615-269-4557
  • Fax: 615-246-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberMD27111
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD27111
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: