| Preop Centers Of Tennessee, Llc | |
|
9245 Poplar Ave # 5-210 Germantown TN 38138-7931 | |
| (210) 469-3830 | |
| Not Available |
| Full Name | Preop Centers Of Tennessee, Llc |
|---|---|
| Speciality | General Practice |
| Location | 9245 Poplar Ave # 5-210, Germantown, Tennessee |
| Authorized Official Name and Position | Adam Bruggeman (MANAGING MEMBER) |
| Authorized Official Contact | 2103733704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preop Centers Of Tennessee, Llc 9245 Poplar Ave # 5-210 Germantown TN 38138-7931 Ph: () - | Preop Centers Of Tennessee, Llc 9245 Poplar Ave # 5-210 Germantown TN 38138-7931 Ph: (210) 469-3830 |
| NPI Number | 1487385241 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 5799150983 |
|---|---|
| Medicare Enrollment ID | O20230330002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487385241 | NPI | - | NPPES |
| Provider Name | Adam Bruggeman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316160625 PECOS PAC ID: 8729240973 Enrollment ID: I20230330002272 |
| Provider Name | John Bryan Clifton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336117381 PECOS PAC ID: 3577581503 Enrollment ID: I20230330002426 |
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