Individual provider Active NPI

Brian N Walker, DO

  • Hematology & Oncology Physician
  • Jackson, TN
National Provider Identifier
1144290032
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01943 Issued in TN
Practice address
322 Hospital Blvd
Jackson, TN 38305
Phone
(731) 668-1668
Fax
(731) 668-6720
NPI assigned
Jan 24, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 17418 MS
Hematology & Oncology Physician 207RH0003X DO1943 TN
Hematology & Oncology Physician 207RH0003X 01943 TN Primary

Addresses

Primary practice location

322 Hospital Blvd
Jackson, TN 38305

Mailing address

322 Hospital Blvd
Jackson, TN 38305
Phone (731) 668-1668

Other identifiers 2

IdentifierTypeStateIssuer
0126632MedicaidMS
3001465MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000881 TN Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 6709827785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Hematology/Oncology
Education
Kansas City College of Medicine and Surgery, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.21 of 100Reported as group
Quality
64.19
Improvement activities
40
Cost
79.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1943TNMDChiropractor
17418MSMDHematology & Oncology Physician
DO1943TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Madison County General Hospital Current Accepting new patients
Jackson Madison County General Hospital CurrentSince Feb 1, 2014 Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

27 Medical Center Dr
Jackson, TN 38301
Phone (901) 424-1001

322 Hospital Blvd
Jackson, TN 38305
Phone (731) 668-1668

720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087

Interoperability endpoints

  • Direct secure messaging: brian.walker@kirklandcancercenter.direct.varian.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1144290032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-668-1668",
            "fax_number": "731-668-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-668-1668",
            "fax_number": "731-668-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRIAN",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "17418",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "DO1943",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "01943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126632",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.