Basic Information
| Provider Information | |||||||||
| NPI: | 1831190057 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRATTON | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | HALL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 BOSWELL ST | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383511566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7319682006 | ||||||||
| FaxNumber: | 7319671202 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 BOSWELL ST | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383511566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7319682006 | ||||||||
| FaxNumber: | 7319671202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 07/17/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD11493 | TN | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 3000764 | 05 | TN | MEDICAID |