Healthcare Provider Details

I. General information

NPI: 1083024855
Provider Name (Legal Business Name): BRIGID K MARSHALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 23RD AVE N STE 350
NASHVILLE TN
37203-1596
US

IV. Provider business mailing address

345 23RD AVE N STE 350
NASHVILLE TN
37203-1596
US

V. Phone/Fax

Practice location:
  • Phone: 615-983-6000
  • Fax: 615-983-6010
Mailing address:
  • Phone: 615-983-6000
  • Fax: 615-983-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2018013521
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberTP686
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: