Individual provider Active NPI

Brent J Klinkhammer, MD

  • Clinical Cardiac Electrophysiology Physician
  • Cookeville, TN
National Provider Identifier
1144740184
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
74556 Issued in TN
Practice address
222 W 4TH St Ste 201
Cookeville, TN 38501-2413
Phone
(931) 783-4269
Fax
(931) 372-0401
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 74556 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 74556 TN Primary

Addresses

Primary practice location

222 W 4TH St Ste 201
Cookeville, TN 38501-2413

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other practice location 1

228 W 4th St Ste 200
Cookeville, TN 38501-2489
Phone (931) 372-0405

Other identifiers 1

IdentifierTypeStateIssuer
Q105042MedicaidTN

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
I20250813002893 TN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 2567736028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Mso Sub 1 IncorporatedGroup PAC ID 1052332830, 21 clinicians
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians

Practice addresses (Care Compare)

228 W 4TH St
Suite 200
Cookeville, TN 38501-2489
Phone (931) 372-0405

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74556TNMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients
CRMC Mso Sub 1, Incorporated CurrentSince Aug 1, 2025 Accepting new patients

Locations

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

228 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 372-0405

Interoperability endpoints

  • Direct secure messaging: brent.klinkhammer.1@10383.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1144740184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 4TH ST STE 201",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012413",
            "telephone_number": "931-783-4269",
            "fax_number": "931-372-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 W 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012489",
            "country_code": "US",
            "telephone_number": "931-372-0405",
            "fax_number": "931-372-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINKHAMMER",
        "first_name": "BRENT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "74556",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "74556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q105042",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.