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

Mr. Brian Ronald Song, PA-C

Individual provider Physician Assistant · NPI 1215578976

Mr. Brian Ronald Song, PA-C is a Physician Assistant in Clarksville, Tennessee. Qualified in 2019, 7 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

980 Professional Park Dr Ste E
Clarksville, TN 37040-5251
Phone: (615) 355-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 651 Dunlop Ln, Clarksville, TN 37040-5015 — (931) 241-0391

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215578976
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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