Provider Demographics
NPI:1689628406
Name:ENGLISH, ADAM P (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:P
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 DEEPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-9679
Mailing Address - Country:US
Mailing Address - Phone:731-343-1186
Mailing Address - Fax:
Practice Address - Street 1:2290 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-1607
Practice Address - Country:US
Practice Address - Phone:731-772-5183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO1750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ013415Medicaid
TN3319616Medicare PIN
TNI49639Medicare UPIN