Individual
BRAD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CHURCH STREET, EMERGENCY DEPT, NASHVILLE, TN 37236
(615) 284-8484
(615) 284-3854
Mailing address
ONE VANTAGE WAY, ST B240, NASHVILLE, TN 37228
(615) 329-4020
(615) 329-9479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41817
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2007
Last updated
09/16/2016
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