Healthcare Provider Details

I. General information

NPI: 1881850667
Provider Name (Legal Business Name): BRETT CHARLES NORMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 DR DB TODD JR BLVD
NASHVILLE TN
37208-3501
US

IV. Provider business mailing address

1222 TROTWOOD AVE STE 503
COLUMBIA TN
38401-6422
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-5572
  • Fax: 615-327-5555
Mailing address:
  • Phone: 931-490-7019
  • Fax: 931-490-4654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number49818
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: