Individual
JOHN BRATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1411 BADDOUR PAKEWAY, LEBANON, TN 37087
(615) 256-1064
Mailing address
344 SEA BISCUIT DR, GALLATIN, TN 37066-3899
(615) 513-4498
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9324
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069706
AMERIGROUP
TN
05
—
3606001
—
TN
01
—
4006049
BCBS
TN
01
—
430061613
RAILROAD MEDICARE
TN
01
—
74396979
KY MEDICAID
KY
Enumeration date
06/12/2006
Last updated
03/19/2008
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