Terri R Brunvoll in Hixson - Sports Medicine
Terri R Brunvoll - NPI 1326170473
Terri R Brunvoll is a Sports Medicine in Hixson, Tennessee. Terri R Brunvoll practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Terri R Brunvoll is 1326170473. The last update date is 2011-03-22.
Terri R Brunvoll's current location address is 1025 Executive Dr, Hixson, Tennessee. You can contact this provider via phone number 4238702030 and fax number 4238756405. The mailing address for Terri R Brunvoll is 1025 Executive Dr, Hixson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri R Brunvoll |
|---|---|
| Address | 1025 Executive Dr, Hixson, Tennessee |
| Phone Number | 4238702030 |
| Fax Number | 4238756405 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1326170473 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 1025 Executive Dr |
|---|---|
| City | Hixson |
| State | Tennessee (TN) |
| Post Code | 373437916 |
| Phone Number | 4238702030 |
| Fax Number | 4238756405 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 207Q00000X |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5064580 | TN | -- | |
| 80157953 | TN | MEDICARE RR | |
| DO0000001148 | TN | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Terri R Brunvoll by the Centers for Medicare & Medicaid Services (CMS)?
The Terri R Brunvoll has been assigned the NPI (National Provider Identifier) 1326170473. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terri R Brunvoll is physically located?
The Terri R Brunvoll is physically situated at the following address: 1025 Executive Dr, Hixson, TN, 373437916.
What is Terri R Brunvoll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Terri R Brunvoll's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326170473 to Terri R Brunvoll?
The Centers for Medicare & Medicaid Services assigned the 1326170473 to Terri R Brunvoll on 2007-03-12.
When was the Terri R Brunvoll's information last updated?
The Terri R Brunvoll's information was last updated on 2011-03-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY