Healthcare Provider Details

I. General information

NPI: 1669925756
Provider Name (Legal Business Name): ALEX SCHMIDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 08/01/2021
Certification Date: 08/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE 590
NASHVILLE TN
37207-2520
US

IV. Provider business mailing address

3443 DICKERSON PIKE STE 590
NASHVILLE TN
37207-2520
US

V. Phone/Fax

Practice location:
  • Phone: 615-988-8100
  • Fax:
Mailing address:
  • Phone: 615-988-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number62341
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number62341
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301110076
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number62341
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: