Individual
DR. BRYAN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
Mailing address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
(615) 292-4633
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD54388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5581316
BCBS TN
TN
01
—
MD54388
MEDICAL LICENSE
TN
05
—
Q022944
—
TN
Enumeration date
07/16/2010
Last updated
01/27/2022
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