Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANT GUNDERSON, MD
ActiveDR. BRANT GUNDERSON, MD is a Sports Medicine healthcare provider located in COOKEVILLE, Tennessee. NPI 1457921272 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · COOKEVILLE, TN
Registration Details
- NPI Number
- 1457921272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2021 (5.1689168905445 yrs)
- Last Updated
- Aug 28, 2025
- License
-
74455 (TN)
Practice Information
- Address
-
315 N WASHINGTON AVE STE 150COOKEVILLE, TN, 385012623Browse TN providers · Browse ZIP 38501
- Phone
- 9315256676
- Fax
- 9315256689
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.