Provider Demographics
NPI:1063485274
Name:REID, MICHAEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:REID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1321 MURFREESBORO ROAD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-366-8890
Mailing Address - Fax:615-366-3379
Practice Address - Street 1:5651 FRIST BOULEVARD
Practice Address - Street 2:SUITE 500
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076
Practice Address - Country:US
Practice Address - Phone:615-889-3340
Practice Address - Fax:615-889-6087
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2017-06-28
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Provider Licenses
StateLicense IDTaxonomies
TN16700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN54516OtherBCBS
TN3017603Medicaid
TNA98155Medicare UPIN
TN3017603Medicaid
TN54516OtherBCBS
TN200022374Medicare PIN