Brian Viscomi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

112119 Issued in GA

Practice address

1514 Jefferson Hwy
Jefferson, LA 70121-2429

Phone

(423) 827-6138

NPI assigned

Jun 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545

  Surgery

  NPD (past)

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1184291551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80426",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374147426",
            "telephone_number": "423-495-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "423-827-6138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Battlefield Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307365168",
            "country_code": "US",
            "telephone_number": "706-841-4214",
            "fax_number": "706-841-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Glenwood Dr Ste W550",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041155",
            "country_code": "US",
            "telephone_number": "423-698-8692",
            "fax_number": "423-624-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCOMI",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "112119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Vilenica, DPM
• Betzabeth del Valle Villanueva Meza, MD
• Jose Luis Villarreal III
• Wesley Villavicencio Torres, MD, MPH
• Amanda Vining, MD
• Adriana Maria Vivas
• Lauren Guidry Vlosich, PA-C
• Danny Vo
• Anh Phuong Chau Vu, PA-C
• Mollie Wagner

• Surgery Physician in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.