Healthcare Provider Details

I. General information

NPI: 1609862176
Provider Name (Legal Business Name): DAVID ENGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WEATHERLY DR
CLARKSVILLE TN
37043-8957
US

IV. Provider business mailing address

310 25TH AVE N STE 201
NASHVILLE TN
37203-1515
US

V. Phone/Fax

Practice location:
  • Phone: 931-648-1912
  • Fax: 931-648-1277
Mailing address:
  • Phone: 615-329-0195
  • Fax: 615-329-0211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD37475
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: