Provider Demographics
NPI:1790710978
Name:NEVELS, HAROLD V (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:V
Last Name:NEVELS
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 1:2510 MURFREESBORO RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3582
Mailing Address - Country:US
Mailing Address - Phone:615-399-6898
Mailing Address - Fax:615-399-6901
Practice Address - Street 1:2510 MURFREESBORO RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3582
Practice Address - Country:US
Practice Address - Phone:615-399-6898
Practice Address - Fax:615-399-6901
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD11492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7115582OtherAETNA
4130901OtherBCBS OF TN
TN3867701Medicaid
P00707248OtherRAILROAD MEDICARE
TN4119194OtherBC/BS OF TN
3867704Medicare PIN
3867706Medicare PIN
TN7115582OtherAETNA
4130901OtherBCBS OF TN
3867705Medicare PIN
P00707248OtherRAILROAD MEDICARE
TNB03963Medicare UPIN
TN3867701Medicaid
TN3867702Medicare ID - Type Unspecified