Provider Demographics
NPI:1083712939
Name:HELDERMAN, J. HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:HAROLD
Last Name:HELDERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAL
Other - Middle Name:
Other - Last Name:HELDERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:1161 21ST AVE., SOUTH
Practice Address - Street 2:S-3223 MCN
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2372
Practice Address - Country:US
Practice Address - Phone:615-322-6976
Practice Address - Fax:615-343-2605
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD19446207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D66529Medicare UPIN