Provider Demographics
NPI:1760581318
Name:WEST, BRIAN PALMER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PALMER
Last Name:WEST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 CROSSROADS BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2806
Mailing Address - Country:US
Mailing Address - Phone:615-274-4426
Mailing Address - Fax:615-274-4428
Practice Address - Street 1:7105 CROSSROADS BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2806
Practice Address - Country:US
Practice Address - Phone:615-274-4426
Practice Address - Fax:615-274-4428
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9248111N00000X
TN2331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor