MEDICARE: NEUROSURGICAL ASSOCIATES

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	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7726850001	OTHER	TN	NCS

General Provider Information

NPI Number	:	1669013124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 210127
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-0127
Country	:	US
Telephone Number	:	615-986-1256
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 DICKERSON PIKE STE 340
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2523
Country	:	US
Telephone Number	:	615-320-0007
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARTHUR J ULM III
Credential	:	MD
Telephone Number	:	615-986-1256

Provider Enumeration Date	:	10/04/2019
Last Update Date	:	10/04/2019

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