Provider Demographics
NPI:1992090500
Name:TOLMAN, BRANDON ROSS (DO)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:ROSS
Last Name:TOLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2045 CASTLEMAN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6123
Mailing Address - Country:US
Mailing Address - Phone:540-818-1320
Mailing Address - Fax:615-953-9512
Practice Address - Street 1:1195 OLD HICKORY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4239
Practice Address - Country:US
Practice Address - Phone:615-953-9512
Practice Address - Fax:615-953-9512
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0079521208100000X
IL036.136295208100000X
TN3078208100000X
IN02004510A208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation