BRENT MOODY


Address: 1900 Patterson St Ste 201, Nashville, TN 37203
Phone: 6292552066

BRENT MOODY (NPI# 1457448599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457448599
Entity Type Individual
Full Name BRENT MOODY
Credential MD
Practice Address 1900 Patterson St Ste 201
Nashville
TN 37203
Mailing Address 222 22nd Ave N
Nashville
TN 37203-1852
Practice Telephone 6292552066
Practice Fax Number 6292554136
Mailing Telephone 6292553486
Enumeration Date 2006-10-09
Last Update Date 2018-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
37502 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3884146 05

Other Providers BRENT MOODY

NPI Name Taxonomy Address Enumeration
1164410551 Brent Warren Moody Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 2005-10-10

Office Location

Street Address 1900 PATTERSON ST STE 201
City NASHVILLE
State TN
Zip Code 37203

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1427663152 Amber Nicole Fox Nurse Practitioner 2300 Patterson Street-endo Dept, Nashville, TN 37203 2020-09-10
1144839648 Tasha Yarris Nurse Practitioner 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 2020-07-30
1013536655 Colby Wollenman Student in an Organized Health Care Education/Training Program Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 2020-04-14
1477193738 Ames Center for Counseling LLC Social Worker 1900 Church Street #300, Nashville, TN 37203 2020-01-14
1750922498 Lisa Michelle Gregory Beck Nurse Practitioner 2221 Murphy Avenue, Nashville, TN 37203 2019-10-03
1235634023 Jackson Primary Care Family Medicine 2010 Church St Ste 526, Nashville, TN 37203 2018-03-26
1932614237 Caitlin Butcher Social Worker 402 22nd Ave North, Nashville, TN 37203 2017-12-08
1780194068 Casey Lynn O'quinn Behavioral Analyst 2108 Hayes St, Nashville, TN 37203 2017-10-02
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679742423 Affiliated Dermatologists of Green Hills PC Dermatology 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 2008-02-26
1497700231 Nashville Skin and Cancer, Plc Dermatology 2301 21st Ave S, Nashville, TN 37212-4908 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295824415 Tricities Skin and Cancer Dermatology 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 2006-10-12
1942238902 East Tennessee Medical Group, PC Dermatology 266 Joule Street, Alcoa, TN 37701-2422 2006-06-29
1881658243 Adult & Pediatric Dermatology of Tullahoma PC Dermatology 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 2006-04-13
1851369391 Thomas Paul Chu Dermatology 520 Trinity Creek Cv, Cordova, TN 38018-2279 2006-03-10
1770550659 Frances Beard Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-01
1275506404 Rex Allen Amonette Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-02-08
1184608416 Julie M Pena Dermatology 200 Cool Springs Blvd, Franklin, TN 37067-2677 2005-11-30
1306849500 Steve Leroy Peterson Dermatology 1009 North State of Franklin Access Road, Johnson City, TN 37604 2005-05-23
1255938502 Uderm, Pllc Dermatology 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 2020-10-08
1801362231 Innova Dermatology PC Dermatology 105 Maple Row Blvd, Hendersonville, TN 37075-3853 2018-10-24
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Competitor

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City NASHVILLE
Zip Code 37203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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