Provider Demographics
NPI:1750449484
Name:BRAREN, HERBERT VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:VICTOR
Last Name:BRAREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:329 TWENTY-FIRST AV N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1855
Mailing Address - Country:US
Mailing Address - Phone:615-321-0481
Mailing Address - Fax:615-321-5649
Practice Address - Street 1:329 TWENTY-FIRST AV N
Practice Address - Street 2:SUITE 2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1855
Practice Address - Country:US
Practice Address - Phone:615-321-0481
Practice Address - Fax:615-321-5649
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN82352088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3153866Medicare ID - Type Unspecified
B02489Medicare UPIN