Individual
DR. RICHARD ALAN BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0570
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570
MEDICAL LICENSE #
TN
05
—
3353846
—
TN
01
—
4060641
BCBS PROVIDER #
TN
01
—
P00014087
RAILROAD MEDICARE #
TN
Enumeration date
10/11/2006
Last updated
10/08/2012
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