Provider Demographics
NPI:1184660482
Name:DRINNEN, DANIEL BROOKS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BROOKS
Last Name:DRINNEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST STE 301
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-5708
Mailing Address - Country:US
Mailing Address - Phone:423-979-0000
Mailing Address - Fax:423-979-6333
Practice Address - Street 1:300 E MAIN ST STE 301
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-5708
Practice Address - Country:US
Practice Address - Phone:423-979-0000
Practice Address - Fax:423-979-6333
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD27099208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G52091Medicare UPIN
TN3814391Medicare PIN