Provider Demographics
NPI:1972718104
Name:INGLIS, BRETT C (DO)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:C
Last Name:INGLIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-1400
Mailing Address - Fax:615-284-3089
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1400
Practice Address - Fax:615-284-3089
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO0000002463207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1533325Medicaid
TN4355856OtherBLUE CROSS-BLUE SHIELD
TNP01205846OtherRAILROAD MEDICARE
TN103I106939Medicare PIN