Healthcare Provider Details

I. General information

NPI: 1326242975
Provider Name (Legal Business Name): DAVID ALLEN GILPIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 06/27/2020
Certification Date: 06/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 21ST AVE S STE 300
NASHVILLE TN
37212-4946
US

IV. Provider business mailing address

2301 21ST AVE S STE 300
NASHVILLE TN
37212-4946
US

V. Phone/Fax

Practice location:
  • Phone: 615-942-7301
  • Fax: 615-942-8659
Mailing address:
  • Phone: 615-942-7301
  • Fax: 615-942-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number48365
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number48365
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: