Greenbaum, Brad Andrew
Greenbaum, Brad Andrew is an individual health care provider with primary practice located at 342 21St Ave N , Nashville TN 37203-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Greenbaum, Brad Andrew can be contacted via phone (615) 327-9371.Contact Information
Primary practice address
342 21St Ave N
Nashville TN 37203-1848
Phone: (615) 327-9371
Fax: (615) 329-6652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30181 | Tennessee |
Profile Details
| NPI number | 1801889274 |
|---|---|
| LBN Legal business name | Greenbaum, Brad Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Feb 11th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801889274 | NPPES |
| Tennessee | Other | 00001807489 01 | UNITEDHEALTHCARE |
| Tennessee | Other | 079138 | UNITEDHEALTHCARE |
| Tennessee | Other | G75193 | UNITEDHEALTHCARE |
| Tennessee | Other | 110784 | UNITEDHEALTHCARE |
| Tennessee | Other | 3101080 | UNITEDHEALTHCARE |
| Tennessee | MEDICAID | 3824681 | UNITEDHEALTHCARE |
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