Provider Demographics
NPI:1932194776
Name:NASON, WILLIAM BRENT (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRENT
Last Name:NASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:353 NEW SHACKLE ISLAND RD STE 221B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2382
Practice Address - Country:US
Practice Address - Phone:615-822-3880
Practice Address - Fax:615-264-1664
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27914174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
103I04658OtherMEDICARE
TN3806622Medicaid
TN6088990OtherBCBS
TN4337477OtherBCBS
TNBN4083803Medicare UPIN
TN6088990OtherBCBS