Individual
DR. BRIAN MONTGOMERY JERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD STE 400, MEMPHIS, TN 38119-0845
(901) 448-6650
(901) 302-2486
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49786
TN
207W00000X
Ophthalmology Physician
MD.205311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02959848
—
MS
05
—
1487829347
—
MO
05
—
198406001
—
AR
05
—
2195697
—
LA
05
—
Q002086
—
TN
Enumeration date
04/22/2008
Last updated
02/25/2025
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