Provider Demographics
NPI:1689692998
Name:BRIT, MICHAEL
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BRIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MIKHAIL
Other - Middle Name:
Other - Last Name:BRITCHOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:979 E 3RD ST
Mailing Address - Street 2:SUITE B-805
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2136
Mailing Address - Country:US
Mailing Address - Phone:423-778-4396
Mailing Address - Fax:423-778-4397
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE B-805
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-778-4396
Practice Address - Fax:423-778-4397
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38107207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH66446Medicare UPIN
TN3330140Medicare ID - Type Unspecified