Provider Demographics
NPI:1588807416
Name:PARKER, BRETT AGEE (MD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:AGEE
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-222-1251
Mailing Address - Fax:615-222-1251
Practice Address - Street 1:5700 TEMPLE RD STE 301
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4223
Practice Address - Country:US
Practice Address - Phone:629-208-6160
Practice Address - Fax:629-280-6161
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN504372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ007397Medicaid
TN6018535OtherBLUE CROSS-BLUE SHIELD
TN103I392412Medicare PIN