Active NPI
Brooks M Talton Jr., M.D.
- Radiation Oncology Physician
- Kingsport, TN
National Provider Identifier
1144278334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD0000012151
- Practice address
- 130 W Ravine Rd
HVMC/Radiation Oncology Dept
Kingsport, TN 37660-3810 - Phone
- (423) 224-5500
- Fax
- (423) 224-5439
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD0000012151 | TN | Primary |
| Radiation Oncology Physician | 2085R0001X | 0101026611 | VA |
Addresses
Primary practice location
130 W Ravine Rd
HVMC/Radiation Oncology Dept
Kingsport, TN 37660-3810
Mailing address
PO Box 1183
Lebanon, TN 37088-1183
Phone (615) 449-9680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3175160 | Medicaid | TN | |
| 7287241 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12151 | TN | MD | Pharmacist |
| MD0000012151 | TN | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144278334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1183",
"city": "LEBANON",
"state": "TN",
"postal_code": "370881183",
"telephone_number": "615-449-9680",
"fax_number": "615-449-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"address_2": "HVMC/RADIATION ONCOLOGY DEPT",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603810",
"telephone_number": "423-224-5500",
"fax_number": "423-224-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALTON",
"first_name": "BROOKS",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "MD0000012151",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101026611",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3175160",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7287241",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.