1255469151 NPI number — MR. DONALD LYNN BROOKSHIRE PSY.D.

Table of content: MR. DONALD LYNN BROOKSHIRE PSY.D. (NPI 1255469151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255469151 NPI number — MR. DONALD LYNN BROOKSHIRE PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROOKSHIRE
Provider First Name:
DONALD
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255469151
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 MARKET ST
Provider Second Line Business Mailing Address:
SUITE 305-B
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37402-1226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-778-9455
Provider Business Mailing Address Fax Number:
423-702-5344

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 305-B
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37402-1226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-778-9455
Provider Business Practice Location Address Fax Number:
423-702-5344
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  P1743 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3083630 . This is a "BLUECROSS BLUESHIELD TN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1515839 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00746853A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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