Provider Demographics
NPI:1407804123
Name:BRINDISI, FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:BRINDISI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 MILLER AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4932
Mailing Address - Country:US
Mailing Address - Phone:931-456-8611
Mailing Address - Fax:931-456-8611
Practice Address - Street 1:2143 MILLER AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4932
Practice Address - Country:US
Practice Address - Phone:931-456-8611
Practice Address - Fax:931-456-8611
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3675917Medicaid
TN3675917Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID
TNT60301Medicare UPIN