Provider Demographics
| NPI: | 1407851074 |
|---|---|
| Name: | BEST, TONY P (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | TONY |
| Middle Name: | P |
| Last Name: | BEST |
| 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: | 110 29TH AVE N |
| Mailing Address - Street 2: | STE 202 |
| Mailing Address - City: | NASHVILLE |
| Mailing Address - State: | TN |
| Mailing Address - Zip Code: | 37203-1448 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 110 29TH AVE N |
| Practice Address - Street 2: | STE 202 |
| Practice Address - City: | NASHVILLE |
| Practice Address - State: | TN |
| Practice Address - Zip Code: | 37203-1448 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 615-327-4304 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2005-06-20 |
| Last Update Date: | 2015-11-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TN | 021465 | 174400000X |
| TN | 21465 | 207L00000X |
| KY | 24604 | 207L00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| No | 174400000X | Other Service Providers | Specialist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AL | 009991765 | Medicaid | |
| TN | 3029973 | Other | BCBS PROVIDER NUMBER |
| TN | 3061237 | Medicaid | |
| KY | 64911498 | Medicaid | |
| TN | 3061238 | Medicare PIN | |
| TN | 3061237 | Medicaid |