FREDERICK BRONN RAYNE MD NPI 1235197245

NPI Information

  • NPI: 1235197245
  • Provider Name: FREDERICK BRONN RAYNE, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 100 W 4TH ST
    SUITE 200
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 528-1575

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NPI Details

Frederick Bronn Rayne, MD is a specialist in Cookeville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Frederick Bronn Rayne, MD NPI is 1235197245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 W 4TH ST
SUITE 200
COOKEVILLE, TN
ZIP 38501-448
Phone: (931) 528-1575
Fax: (931) 526-2962

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist19380TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E04265MEDICARE UPINTENNESSEE
23044672MEDICAIDTENNESSEE
33044675MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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