Individual
MR. MATTHEW L BRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
397 WALLACE RD, SUITE 100, NASHVILLE, TN 37211-4854
(615) 834-6166
(516) 781-9755
Mailing address
397 WALLACE RD, SUITE 100, NASHVILLE, TN 37211-4854
(615) 834-6166
(516) 781-9755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25829
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3800427
—
TN
Enumeration date
09/13/2005
Last updated
02/09/2022
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