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

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

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