Provider Demographics
NPI:1285834754
Name:BROUGHT, NATHAN RAY (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:RAY
Last Name:BROUGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4601 CAROTHERS PKWY
Mailing Address - Street 2:SUITE 285
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5976
Mailing Address - Country:US
Mailing Address - Phone:615-791-9090
Mailing Address - Fax:615-791-8393
Practice Address - Street 1:4601 CAROTHERS PKWY
Practice Address - Street 2:SUITE 285
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5976
Practice Address - Country:US
Practice Address - Phone:615-791-9090
Practice Address - Fax:615-791-8393
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2012-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN2115208200000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
103G703449OtherMEDICARE PTAN
103G703449OtherMEDICARE PTAN