Provider Demographics
NPI:1346342573
Name:SEVEN SPRINGS ORTHOPAEDICS AND SPORTS MEDICINE
Entity Type:Organization
Organization Name:SEVEN SPRINGS ORTHOPAEDICS AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRANT
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:615-370-9992
Mailing Address - Street 1:317 SEVEN SPRINGS WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:DAVIDSON
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4576
Mailing Address - Country:US
Mailing Address - Phone:615-370-9992
Mailing Address - Fax:615-370-9665
Practice Address - Street 1:317 SEVEN SPRINGS WAY
Practice Address - Street 2:STE 101
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4576
Practice Address - Country:US
Practice Address - Phone:615-370-9992
Practice Address - Fax:615-370-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD15322204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370104OtherMEDICARE PTAN
TN3370104OtherMEDICARE PTAN