Provider Demographics
NPI:1942295985
Name:SOKOLOFF, BRET R (MD)
Entity Type:Individual
Prefix:
First Name:BRET
Middle Name:R
Last Name:SOKOLOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4901 RALEIGH COMMON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-2478
Mailing Address - Country:US
Mailing Address - Phone:901-363-3600
Mailing Address - Fax:901-363-3500
Practice Address - Street 1:3980 NEW COVINGTON PIKE #100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-2513
Practice Address - Country:US
Practice Address - Phone:901-363-3600
Practice Address - Fax:901-363-3500
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000035932207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
9942463OtherCIGNA
TN3873926Medicaid
200045518OtherRR MEDICARE
TN4040038OtherBC
TN200045518OtherMEDICARE RR
2242399OtherUNITED HEALTHCARE
TN200045518OtherMEDICARE RR
TN1518117043Medicare NSC
TN3873926Medicare Oscar/Certification
9942463OtherCIGNA