Provider Demographics
NPI:1750324315
Name:MCMURRAY, BRIAN ROYAL (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ROYAL
Last Name:MCMURRAY
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 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-3927
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000023534207P00000X
TN23534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710089Medicaid
TN4049685OtherBLUE CROSS
KY50008938OtherPASSPORT HEALTH PLAN
TNP00293247OtherMEDICARE RAILROAD
NC139APOtherBLUE CROSS
TNP00293247Medicaid
AL009941816Medicaid
NC5900827Medicaid
KY64912819Medicaid
TN4049683OtherBLUE CROSS
NCP00243094OtherMEDICARE RAILROAD
TN3067432Medicaid
GA752401757AMedicaid
KY000000242790OtherBLUE CROSS
TN3067438Medicaid
NC139APOtherBLUE CROSS
GA752401757AMedicaid
KY0954342Medicare PIN
TN4049683OtherBLUE CROSS
TN3067438Medicaid
NC2039253AMedicare PIN
KYK181280Medicare PIN
KY000000242790OtherBLUE CROSS