Healthcare Provider Details

I. General information

NPI: 1043287568
Provider Name (Legal Business Name): STEVEN A URBAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEVEN ALLEN URBAN MD

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 08/08/2007

III. Provider practice location address

1616 W MAIN ST SUITE 300
LEBANON TN
37087-3100
US

IV. Provider business mailing address

1616 W MAIN ST SUITE 300
LEBANON TN
37087-3100
US

V. Phone/Fax

Practice location:
  • Phone: 615-257-0900
  • Fax: 615-443-1444
Mailing address:
  • Phone: 615-257-0900
  • Fax: 615-443-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number32147
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number32147
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: