Provider Demographics
NPI:1750323911
Name:OBRIEN, THOMAS J (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:OBRIEN
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 1:394 HARDING PLACE
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3982
Mailing Address - Country:US
Mailing Address - Phone:615-834-4482
Mailing Address - Fax:615-834-4722
Practice Address - Street 1:1321 MURFREESBORO RD
Practice Address - Street 2:STE. 510
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2626
Practice Address - Country:US
Practice Address - Phone:615-366-8890
Practice Address - Fax:615-366-3379
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000028032204C00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3800220Medicaid
TN200042899OtherRAILROAD MEDICARE
TNG26811Medicare UPIN
TN4454190001Medicare NSC
TN200042899OtherRAILROAD MEDICARE
TN3800220Medicaid