Provider Demographics
NPI:1538249669
Name:BEARDEN, WILLIAM CASEY (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CASEY
Last Name:BEARDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 CHARLOTTE PIKE
Mailing Address - Street 2:SUITE, 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2970
Mailing Address - Country:US
Mailing Address - Phone:615-356-4656
Mailing Address - Fax:615-356-4561
Practice Address - Street 1:6410 CHARLOTTE PIKE
Practice Address - Street 2:SUITE, 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-2970
Practice Address - Country:US
Practice Address - Phone:615-356-4656
Practice Address - Fax:615-356-4561
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU53338Medicare UPIN
TN3677245Medicare ID - Type UnspecifiedCHIROPRACTIC PHYSICIAN