MEDICARE: DR. BERNARD H CHANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	38672	TN
2	207W00000X	Ophthalmology Physician	MD38672	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7202421	OTHER	TN	CIGNA
2	G72501	OTHER	TN	HEALTHSPRING
3	3717165	OTHER	TN	MEDCAID
4	3779969	OTHER	TN	AETNA
5	4098045	OTHER	TN	BLUE CROSS BLUE SHIELD
6	4098045	OTHER	TN	TENNCARE SELECT
7	4098045	OTHER	TN	BLUE CARE
8	5591489	OTHER	TN	FIRST HEALTH
9	4098045	OTHER	TN	ANTHEM
10	1811063	OTHER	TN	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1215933197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD H CHANG MD

Provider Business Mailing Address
First Line	:	335 24TH AVE N STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1503
Country	:	US
Telephone Number	:	615-320-7200
Fax Number	:	615-320-7203

Provider Business Practice Location Address
First Line	:	335 24TH AVE N STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1503
Country	:	US
Telephone Number	:	615-320-7200
Fax Number	:	615-320-7203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/19/2024

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Directions to “ DR. BERNARD H CHANG MD” Practice Location

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