Healthcare Provider Details

I. General information

NPI: 1326124645
Provider Name (Legal Business Name): FRANKLIN SURGICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COVEY DR STE 201
FRANKLIN TN
37067-5665
US

IV. Provider business mailing address

PO BOX 440269
NASHVILLE TN
37244-0269
US

V. Phone/Fax

Practice location:
  • Phone: 615-794-8900
  • Fax: 615-794-0038
Mailing address:
  • Phone: 615-261-6000
  • Fax: 615-261-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: DR. BERNARD L BURGESS JR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 615-794-8900