East Tennessee Pediatric Cardiology, P.C.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

EAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C.

Practice address

2012 White Ave FL Tower2
Knoxville, TN 37916-2209

Phone

(865) 522-0420

Fax

(865) 246-7564

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Yvonne BremerNPI 1356320311

Title

Medical Docotor

Phone

(865) 522-0420

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne A Bremer, MD

  • Pediatric Cardiology Physician
  • Knoxville, TN
  • NPI 1356320311
  Medicare reassignment NPD Authorized official
• Michael R Liske, MD

  • Pediatric Cardiology Physician
  • Knoxville, TN
  • NPI 1013091123
  Medicare reassignment NPD

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1265666747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 WHITE AVE FL TOWER2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162209",
            "telephone_number": "865-522-0420",
            "fax_number": "865-971-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 WHITE AVE FL TOWER2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162209",
            "telephone_number": "865-522-0420",
            "fax_number": "865-246-7564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 White Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162209",
            "country_code": "US",
            "telephone_number": "865-522-0420",
            "fax_number": "865-246-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "MEDICAL DOCOTOR",
        "authorized_official_telephone_number": "865-522-0420"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100320610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.