Active NPI
Brion B. Shin, M.D.
- Radiation Oncology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 62775
- Practice address
- 6450 Provision Cares Way
Knoxville, TN 37909-2544 - Phone
- (865) 862-1600
- NPI assigned
- May 29, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01066928A | IN | |
| Radiation Oncology Physician | 2085R0001X | A94346 | CA | |
| Radiation Oncology Physician | 2085R0001X | 62775 | TN | Primary |
Addresses
Primary practice location
6450 Provision Cares Way
Knoxville, TN 37909-2544
Mailing address
6450 Provision Cares Way
Knoxville, TN 37909-2544
Phone (865) 862-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q069892 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Old Weisgarber Rd
Suite 250
Knoxville, TN 37909-1327
Phone (865) 437-5252
6450 Provision Cares Way
Knoxville, TN 37909-2544
Phone (865) 862-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94346 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Oncology Group | Radiation Oncology | Current | Accepting new patients |
Locations
6450 Provision Cares Way
Knoxville, TN 37909
Phone (865) 342-4518
Dept 888078
Knoxville, TN 37995
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
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 and National Provider Directory roles.
-
dba DBA Covenant Health Oncology Group
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
Radiation Oncology
-
dba Provision Radiation Therapy
- Radiation Oncology Physician
- Knoxville, TN
- NPI 1679847917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1184825283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 PROVISION CARES WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092544",
"telephone_number": "865-862-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 PROVISION CARES WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092544",
"telephone_number": "865-862-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "BRION",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01066928A",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A94346",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "62775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q069892",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.