Healthcare Provider Details

I. General information

NPI: 1154783835
Provider Name (Legal Business Name): BRIAN HUFF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S WILLOW AVE
COOKEVILLE TN
38501-4667
US

IV. Provider business mailing address

105 S WILLOW AVE
COOKEVILLE TN
38501-4667
US

V. Phone/Fax

Practice location:
  • Phone: 931-526-9518
  • Fax:
Mailing address:
  • Phone: 931-526-9518
  • 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 State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.013151
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0102207011
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: