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NPI Code Detail

MEDICARE: RUSSELL ROTHMAN MD

MEDICARE:   RUSSELL  ROTHMAN  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
1207R00000XInternal Medicine PhysicianMD36482TN

General Provider Information

NPI Number : 1760579874
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL ROTHMAN 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 : 615-936-2000
Fax Number : 615-936-0605
Provider Business Practice Location Address
First Line : 719 THOMPSON LN STE 20400
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4600
Country : US
Telephone Number : 615-936-3533
Fax Number : 615-936-0605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 08/27/2025

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Directions to “ RUSSELL ROTHMAN MD” Practice Location

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