Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brent Davis Staton, MD

Individual provider Family Medicine Physician · NPI 1508989450

Dr. Brent Davis Staton, MD is a Family Practice in Cookeville, Tennessee. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1135 S Walnut Ave
Cookeville, TN 38501-5961
Phone: (931) 400-0808
Fax: (615) 735-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45555 (TN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 45555 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 45555 (TN)

Record details

NPI number1508989450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2007
Last updated in NPPESApril 6, 2017
Mailing address1135 S Walnut Ave, Cookeville, TN 38501-5961

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cookeville