Individual
BRETTON C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL CENTER PKWY, MURFREESBORO, TN 37129-2245
(615) 396-4100
Mailing address
PO BOX 3233, INDIANAPOLIS, IN 46206-3233
(844) 584-2194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29414
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300130881
RR MEDICARE
TN
05
—
3819355
—
TN
Enumeration date
09/16/2006
Last updated
01/13/2016
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