Keith Bradford Graves in Nashville - Sports Physician

Keith Bradford Graves - NPI 1902806201

Keith Bradford Graves is a Sports Physician in Nashville, Tennessee. Keith Bradford Graves practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Keith Bradford Graves is 1902806201. The last update date is 2007-07-08.

Keith Bradford Graves's current location address is 2819 Dogwood Pl, Nashville, Tennessee. You can contact this provider via phone number 6153839573 and fax number 6153839857. The mailing address for Keith Bradford Graves is 2819 Dogwood Pl, Nashville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Bradford Graves
Address 2819 Dogwood Pl, Nashville, Tennessee
Phone Number 6153839573
Fax Number 6153839857
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1902806201
Provider Enumeration Date 2005-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2819 Dogwood Pl
City Nashville
State Tennessee (TN)
Post Code 372043105
Phone Number 6153839573
Fax Number 6153839857

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 661
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
996649 TN AETNA HMO
101304 TN BLUE CROSS BLUE SHIELD
4460013 TN AETNA
CP43876 TN UNITEDHEALTHCARE

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FAQs about Keith Bradford Graves

What is the unique identification code assigned to Keith Bradford Graves by the Centers for Medicare & Medicaid Services?

The Keith Bradford Graves has been issued the NPI (National Provider Identifier) 1902806201. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Keith Bradford Graves is geographically located?

The Keith Bradford Graves is physically situated at the following location: 2819 Dogwood Pl, Nashville, TN, 372043105.

What is Keith Bradford Graves's area of expertise and its corresponding taxonomy classification?

The Keith Bradford Graves's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.

On what date did the Keith Bradford Graves receive the assignment of its 1902806201 from the Centers for Medicare & Medicaid Services?

The Keith Bradford Graves was issued its 1902806201 by the Centers for Medicare & Medicaid Services on 2005-07-28.

As of what date were the details pertaining to Keith Bradford Graves last refreshed?

The information related to the Keith Bradford Graves, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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