Provider Demographics
NPI:1639201130
Name:MAXWELL, BRITT R (MD)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:R
Last Name:MAXWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 GREAT CIRCLE ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228
Mailing Address - Country:US
Mailing Address - Phone:615-222-6977
Mailing Address - Fax:615-222-5322
Practice Address - Street 1:4220 HARDING PIKE
Practice Address - Street 2:SUITE 500
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2005
Practice Address - Country:US
Practice Address - Phone:615-222-6977
Practice Address - Fax:615-222-5322
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2014-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN43574207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4191339OtherBCBS
P00636910OtherRAILROAD MEDICARE
TN6010894OtherBLUE CROSS-BLUE SHIELD
KY7100050920OtherKENTUCKY MEDICAID
TN1506530Medicaid
TN1506530Medicaid
3002067Medicare PIN