Provider Demographics
NPI:1578580379
Name:ANESTHESIA SERVICES OF MIDDLE TENNESSEE, PLLC
Entity Type:Organization
Organization Name:ANESTHESIA SERVICES OF MIDDLE TENNESSEE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRASFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-400-8780
Mailing Address - Street 1:102 HARTMANN DR
Mailing Address - Street 2:SUITE G #352
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087
Mailing Address - Country:US
Mailing Address - Phone:615-444-9351
Mailing Address - Fax:615-444-8470
Practice Address - Street 1:102 HARTMANN DR
Practice Address - Street 2:SUITE G #352
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087
Practice Address - Country:US
Practice Address - Phone:615-444-9351
Practice Address - Fax:615-444-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3371565Medicare ID - Type Unspecified
TN3371566Medicare ID - Type Unspecified