Healthcare Provider Details

I. General information

NPI: 1700520335
Provider Name (Legal Business Name): BRANDON COOK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 NASHVILLE PIKE
GALLATIN TN
37066-3110
US

IV. Provider business mailing address

309 JAMES AVE
FRANKLIN TN
37064-3242
US

V. Phone/Fax

Practice location:
  • Phone: 615-989-1088
  • Fax:
Mailing address:
  • Phone: 615-390-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number75700
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: