Individual
BRIAN DIERCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(818) 901-6600
(818) 997-7826
Mailing address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(615) 324-1600
(615) 324-1661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01071470A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
59630
TN
207X00000X
Orthopaedic Surgery Physician
A115842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201086420
—
IN
Enumeration date
01/10/2008
Last updated
08/14/2019
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