Individual
BRAD ANDREW GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001807489 01
UNITEDHEALTHCARE
TN
01
—
079138
AETNA
TN
01
—
110784
CIGNA
TN
01
—
3101080
BLUE CROSS
TN
05
—
3824681
—
TN
01
—
G75193
HEALTHSPRINGS
TN
Enumeration date
08/31/2005
Last updated
02/11/2014
Update your record
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