Brianna Burgard, PA-C
Individual provider Active NPI Physician Assistant · Powell, TN
NPI 1124877535 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1124877535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6039 (TN)
- Practice address
- 7714 Conner Rd Ste 103
Powell, TN 37849-3559 - Phone
- (865) 928-8121
- Fax
- (865) 212-5561
- NPI assigned
- May 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Surgical Associates PLLC
Practice addresses (Care Compare)
10810 Parkside Dr
Suite G 9
Knoxville, TN 37934-1981
Phone (865) 938-8121
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 938-8121
7565 Dannaher Way
Powell, TN 37849-4029
Phone (865) 938-8121
9430 Parkwest Blvd
Suite 310
Knoxville, TN 37923-4203
Phone (865) 690-5263
Hospital & facility affiliations
- Physicians Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719001484 | TN | Practitioner - Physician Assistant | 1355887902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6039 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Surgical Associates, PLLC | Current |
Accepting new patients |
Locations
6408 Papermill Dr
Knoxville, TN 37919
Phone (865) 306-5680
9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413
7714 Conner Rd
Ste 103
Powell, TN 37849
Phone (865) 938-6725
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 6039 | TN | |
| Physician Assistant | 363A00000X | 6039 | TN | Yes |
Addresses
Primary practice location
7714 Conner Rd Ste 103
Powell, TN 37849-3559
Mailing address
PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5700
Other providers in Powell, TN
- Hannah Suzanne Brewer
- Lainey Santich Briggs
- Rebecca Anne Brown
- April D Bryant
- Chelsea Leigh Bunch
- Sarah Marie Butler
- Jenni Canestrari
- Scott Frederick Capece
- Taylor Marie Carpenter
- Scott H. Carr
All providers in Powell, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.