Organization
CENTENNIAL NEUROSCIENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODGERS JR. (VICE PRESIDENT)
(615) 373-7600
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, SUITE 320, NASHVILLE, TN 37203-1562
(615) 342-6840
(615) 342-6844
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515971
—
TN
01
—
4247885
BCBS
TN
01
—
DP8807
RR MEDICARE
TN
Enumeration date
10/29/2009
Last updated
11/24/2025
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