Healthcare Provider Details

I. General information

NPI: 1013368919
Provider Name (Legal Business Name): BRIAN JOSEPH MORGAN D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5314 MARYLAND WAY
BRENTWOOD TN
37027-5394
US

IV. Provider business mailing address

5314 MARYLAND WAY
BRENTWOOD TN
37027-5394
US

V. Phone/Fax

Practice location:
  • Phone: 844-291-4535
  • Fax:
Mailing address:
  • Phone: 844-291-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO2856
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0060032
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: