Healthcare Provider Details

I. General information

NPI: 1942568936
Provider Name (Legal Business Name): MICHAEL BRANDON ALLEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CHURCH ST
NASHVILLE TN
37236-5423
US

IV. Provider business mailing address

2004 HAYES ST # LL30
NASHVILLE TN
37203-2646
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-7950
  • Fax: 615-284-5750
Mailing address:
  • Phone: 629-203-7775
  • Fax: 615-284-5750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number72124
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberE-10396
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: