Dockery, Brian Keith

Dockery, Brian Keith is an individual health care provider with primary practice located at 228 W 4Th St Suite 200, Cookeville TN 38501-2488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dockery, Brian Keith can be contacted via phone (931) 372-0405.

Contact Information

Primary practice address
228 W 4Th St Suite 200 Cookeville TN 38501-2488
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31307 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 31307 Tennessee

Profile Details

NPI number 1083743413
LBN Legal business name Dockery, Brian Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jun 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083743413 NPPES
Tennessee Other 4288696 BCBS
Tennessee MEDICAID 1506018 BCBS

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