Individual
DR. BERNARD T SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Mailing address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42650
TN
208000000X
Pediatrics Physician
42650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11781042
CAQH
TN
01
—
2818856
UHC
TN
05
—
3001009
—
TN
01
—
4160281
BCBS
TN
01
—
8664215
CIGNA
TN
01
—
MD42650
LICENSE
TN
01
—
P00656564
MCARE RR
TN
Enumeration date
01/29/2007
Last updated
03/26/2024
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