Brittney Bray Kettinger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6403 Issued in TN

Practice address

4021 Keith St NW
Cleveland, TN 37312-4341

Phone

(423) 476-2464

NPI assigned

Feb 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Centers of East Tennessee, P.C.Group PAC ID 1951485150, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAGFBA/Endpoint/AAGFBA

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.

• Urgent Care Centers of East Tennessee, P.C.

  dba Bradley Urgent Care

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1316124852
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1134924731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 COILE RD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604103",
            "telephone_number": "248-826-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124341",
            "telephone_number": "423-476-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTINGER",
        "first_name": "BRITTNEY",
        "middle_name": "BRAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Ann Kent, DC
• Miranda Keplinger, LPC-MHSP
• Casey Renee Kepner, FNP
• Kathleen M Kerecman, MS, LAT, ATC
• Chester L Kessler, P.T.
• Samir Nagi Khalil, BSW
• Asma N Khatri, MD
• Stephanie M Kibble, APRN
• Deborah Ester Kibwage, NP-C
• Kidney Center of Cleveland, LLC

• Physician Assistant in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.

Verify at the official NPI Registry.