Individual
DANA R BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 CHURCH ST, STE 310, NASHVILLE, TN 37203-2012
(615) 284-4672
(615) 284-5752
Mailing address
PO BOX 501123, SAINT LOUIS, MO 63150-0001
(615) 284-4672
(615) 284-5752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34669
TN
208M00000X
Hospitalist Physician
34669
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38807461
—
TN
01
—
4171393
BLUE CROSS BLUE SHIELD
TN
01
—
7082394
AETNA
TN
Enumeration date
06/09/2005
Last updated
03/23/2026
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