Active NPI
Brenda J. Ross, M.D.
- Emergency Medicine Physician
- Jasper, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD25147
- Practice address
- 1000 Highway 28
Jasper, TN 37347-3638 - Phone
- (423) 837-9500
- Fax
- (865) 539-8008
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD25147 | TN | Primary |
Addresses
Primary practice location
1000 Highway 28
Jasper, TN 37347-3638
Mailing address
PO Box 634706
Cincinnati, OH 45263-0001
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3036160 | Other | TN | BCBS OF TENNESSEE |
| 3328362 | Medicaid | TN | |
| 4149824 | Other | TN | BLUE CROSS |
| 3328361 | Medicaid | TN | |
| P00284484 | Other | TN | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-7000
Hospital & facility affiliations
- Erlanger Bledsoe Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25147 | TN | MD | Emergency Medicine Physician |
| 25147 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Whitwell Medical Plaza | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100
1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
-
- Emergency Medicine Physician
- Pikeville, TN
- NPI 1467999532
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1134177686
-
- Primary Care Clinic/Center
- Whitwell, TN
- NPI 1225409147
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pikeville, TN
- NPI 1336841568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1124055801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634706",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HIGHWAY 28",
"city": "JASPER",
"state": "TN",
"postal_code": "373473638",
"telephone_number": "423-837-9500",
"fax_number": "865-539-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "BRENDA",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD25147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "3036160",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328362",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4149824",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328361",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00284484",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.