NPIMap

Individual provider Active NPI

Brandon Brooks, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1154673085
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2204 Issued in TN
Practice address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone
(865) 985-7234
Fax
(865) 985-7077
NPI assigned
Oct 2, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2204 TN Primary

Addresses

Primary practice location

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984

Mailing address

7565 Dannaher Way
Powell, TN 37849-4029
Phone (865) 859-1060

Other identifiers 1

IdentifierTypeStateIssuer
1106359OtherTNNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000194 TN Practitioner - Physician Assistant 6507017365 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chuc, LLCGroup PAC ID 3375505134, 32 clinicians

Practice addresses (Care Compare)

108 Keller LN
Maryville, TN 37801-6201
Phone (865) 205-9505

117 Gill St
Alcoa, TN 37701-2672
Phone (865) 982-3409

1787 Veterans Blvd
Suite 101
Sevierville, TN 37862-6946
Phone (865) 428-2773

6606 Clinton Hwy
Knoxville, TN 37912-1016
Phone (865) 429-4008

7625 Chapman Hwy
Suite 107
Knoxville, TN 37920-2353
Phone (863) 983-1310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 9, 2021 Accepting new patients
Sweetwater Hospital Association CurrentSince Mar 12, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 9, 2021 Accepting new patients
Chuc, LLC PastSince Oct 12, 2025 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients

Locations

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Organizations & group practices 12

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 2

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1154673085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 DANNAHER WAY",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494029",
            "telephone_number": "865-859-1060",
            "fax_number": "865-859-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "865-985-7234",
            "fax_number": "865-985-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1106359",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.