Provider Demographics
NPI:1326124645
Name:FRANKLIN SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:FRANKLIN SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:615-794-8900
Mailing Address - Street 1:PO BOX 440269
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0269
Mailing Address - Country:US
Mailing Address - Phone:615-261-6000
Mailing Address - Fax:615-261-6052
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:STE 201
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-794-8900
Practice Address - Fax:615-794-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3704855Medicaid
TN0181875OtherBCBS
TN0181875OtherBCBS