Brenda Ross MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000025147 Issued in TN

Legal business name

BRENDA ROSS MD PC

Practice address

13851 Highway 28
Whitwell, TN 37397-5373

Phone

(423) 658-9200

Fax

(423) 658-2195

NPI assigned

Dec 2, 2011

Last updated

Dec 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Ross, MD

Title

Owner

Phone

(423) 658-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1083982243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 HIGHWAY 28",
            "city": "WHITWELL",
            "state": "TN",
            "postal_code": "373975373",
            "telephone_number": "423-658-9200",
            "fax_number": "423-658-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 HIGHWAY 28",
            "city": "WHITWELL",
            "state": "TN",
            "postal_code": "373975373",
            "telephone_number": "423-658-9200",
            "fax_number": "423-658-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA ROSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-658-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000025147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Whitwell, TN
• Providers in Whitwell, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.