Provider Demographics
NPI:1619978822
Name:BABAT, LAWRENCE BRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:BRETT
Last Name:BABAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210127
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-0127
Mailing Address - Country:US
Mailing Address - Phone:615-986-1256
Mailing Address - Fax:615-383-0856
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 319
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-986-1256
Practice Address - Fax:615-383-0853
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36419207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4041994OtherBCBS OF TN
TN3876758Medicaid
TN4041994OtherBCBS
H15986Medicare UPIN
TN4041994OtherBCBS OF TN
TN38767758Medicare PIN
200045245Medicare PIN
TN0922510004Medicare PIN