Provider Demographics
NPI:1902097876
Name:DREGER, DIANA D (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:D
Last Name:DREGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SISTER MARY DIANA
Other - Middle Name:D
Other - Last Name:DREGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:801 DOMINICAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1909
Mailing Address - Country:US
Mailing Address - Phone:615-687-3506
Mailing Address - Fax:615-687-3515
Practice Address - Street 1:801 DOMINICAN DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1905
Practice Address - Country:US
Practice Address - Phone:615-687-3506
Practice Address - Fax:615-687-3515
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000039060207R00000X
TNMD39060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3001104Medicaid
4161288OtherBLUE CROSS
9901056OtherAETNA
TN4161286OtherBLUE CROSS
3001104OtherMEDICARE