Individual provider Active NPI

Brian Zach Fowler, M.D.

  • Radiation Oncology Physician
  • Morristown, TN
National Provider Identifier
1083673636
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
53446 Issued in GA
Practice address
908 W. 4TH North Street
Morristown, TN 37814-3894
Phone
(423) 492-6200
Fax
(423) 492-6201
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 53446 GA Primary

Addresses

Primary practice location

908 W. 4TH North Street
Morristown, TN 37814-3894

Mailing address

P.O. Box 24120
Knoxville, TN 37933-2120
Phone (865) 803-4321

Other identifiers 2

IdentifierTypeStateIssuer
000000637445OtherANTHEM BCBS
1521996MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001124 TN Practitioner - Diagnostic Radiology 7719921238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Radiation Oncology, P.C.Group PAC ID 6103917729, 8 clinicians

Practice addresses (Care Compare)

908 W 4TH N St
Morristown, TN 37814-3894
Phone (865) 803-4321

Hospital & facility affiliations

  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53446GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Radiation Oncology, P.C. Radiation Oncology CurrentSince Nov 1, 2010 Accepting new patients
Kentucky Radiation Therapy Associates PSC Radiation Oncology Past Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Past Accepting new patients
Piedmont Carolinas Radiation Therapy LLC Past Accepting new patients
Richard a McGahan PSC Radiation Oncology PastSince Jul 1, 2002 Accepting new patients

Locations

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

Dept 888027
Knoxville, TN 37995

6450 Provision Cares Way
Knoxville, TN 37909
Phone (865) 342-4518

9711 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 373-5000

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Knoxville, TN 37995

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

710 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 446-9025

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1083673636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 24120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379332120",
            "telephone_number": "865-803-4321",
            "fax_number": "865-988-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W. 4TH NORTH STREET",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143894",
            "telephone_number": "423-492-6200",
            "fax_number": "423-492-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRIAN",
        "middle_name": "ZACH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "53446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000637445",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521996",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.