Basic Information
| Provider Information | |||||||||
| NPI: | 1407851074 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BEST | ||||||||
| FirstName: | TONY | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 29TH AVE N | ||||||||
| Address2: | STE 202 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031448 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 110 29TH AVE N | ||||||||
| Address2: | STE 202 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153274304 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2005 | ||||||||
| LastUpdateDate: | 11/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 021465 | TN | N | Other Service Providers | Specialist | 207L00000X | 21465 | TN | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 24604 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 009991765 | 05 | AL | MEDICAID | 3029973 | 01 | TN | BCBS PROVIDER NUMBER | OTHER | 3061237 | 05 | TN | MEDICAID | 64911498 | 05 | KY | MEDICAID |