Healthcare Provider Details

I. General information

NPI: 1770572497
Provider Name (Legal Business Name): BERND UWE SEVIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2005
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 21ST AVE S R-1217 MCN
NASHVILLE TN
37232-0011
US

IV. Provider business mailing address

1161 21ST AVE S R-1217 MCN
NASHVILLE TN
37232-0011
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-3385
  • Fax:
Mailing address:
  • Phone: 615-936-1853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberME30842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: