# DR. DEANA R BROTHERTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508836842
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD30887 | TN | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 04/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100028814 | PHP | TN |
| 01 | — | 3142811 | BCBST | TN |
| 01 | — | 3144180 | BCBST | TN |
| 01 | — | 3144181 | BCBST | TN |
| 01 | — | 3144182 | BLUECARE-BOGARD | TN |
| 05 | — | 3846342 | — | TN |