Provider Demographics
NPI:1629752571
Name:T BRINKE INVESTMENTS LLC
Entity Type:Organization
Organization Name:T BRINKE INVESTMENTS LLC
Other - Org Name:CORNERSTONE MEDICAL & WEIGHT LOSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TYFANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKE
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:615-854-0378
Mailing Address - Street 1:1949 NEWARK LN
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-9659
Mailing Address - Country:US
Mailing Address - Phone:615-854-0378
Mailing Address - Fax:
Practice Address - Street 1:2095 BRANFORD PL STE 102B
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-1018
Practice Address - Country:US
Practice Address - Phone:907-795-8456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty