MEDICARE: DR. DOUGLAS MARSHALL BRINKLEY JR. 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	207R00000X	Internal Medicine Physician	54523	TN
2	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	54523	TN
3	207RC0000X	Cardiovascular Disease Physician	54523	TN

General Provider Information

NPI Number	:	1720284086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS MARSHALL BRINKLEY JR. MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:	VANDERBILT HEART & VASCULAR INSTITUTE
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-322-2318
Fax Number	:

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	04/06/2026

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