Healthcare Provider Details

I. General information

NPI: 1972555696
Provider Name (Legal Business Name): BARBARA OBRIEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA LEE CAPE M.D.

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 CENTERVIEW PKWY SUITE 300
CORDOVA TN
38018-4254
US

IV. Provider business mailing address

8000 CENTERVIEW PKWY SUITE 300
CORDOVA TN
38018-4254
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-1111
  • Fax: 901-747-1137
Mailing address:
  • Phone: 901-747-1111
  • Fax: 901-747-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number18000
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier4170696
Identifier TypeOTHER
Identifier StateTN
Identifier IssuerBC BS TN
# 2
Identifier4227362
Identifier TypeOTHER
Identifier StateTN
Identifier IssuerBCBS TN
# 3
Identifier18000
Identifier TypeMEDICAID
Identifier StateTN
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: