Individual
DR. BRUCE RANDALL BRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-3607
(615) 322-3000
Mailing address
3601 TVC NASHVILLE, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56336
TN
207L00000X
Anesthesiology Physician
C10004086
DE
207LP3000X
Pediatric Anesthesiology Physician
Primary
56336
TN
207LP3000X
Pediatric Anesthesiology Physician
C10004086
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001455060
—
PA
05
—
01438128
—
NY
05
—
1604619
—
MD
05
—
5622107
—
NJ
05
—
5700825
—
VA
05
—
Q04086
—
SC
Enumeration date
09/28/2006
Last updated
03/17/2018
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