Jim N Brantner, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD25117 Issued in TN

Practice address

1303 Sunset Dr
Suite 5
Johnson City, TN 37604-7905

Phone

(423) 328-9000

Fax

(423) 328-9007

NPI assigned

Oct 19, 2005

Last updated

Nov 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

Emory University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Plastic and Reconstructive Surgery PC

  • Legal Medicine
  • Johnson City, TN
  • NPI 1215167580
  Medicare reassignment
• East Tennessee Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Johnson City, TN
  • NPI 1659360071
  NPD (past) Authorized official
• Heal U, LLC

  dba Heal U

  • Registered Dietitian
  • Johnson City, TN
  • NPI 1396219341
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1275522567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SUNSET DR STE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047905",
            "telephone_number": "423-328-9000",
            "fax_number": "423-328-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SUNSET DR",
            "address_2": "SUITE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047905",
            "telephone_number": "423-328-9000",
            "fax_number": "423-328-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTNER",
        "first_name": "JIM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD25117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081165",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "178630",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hetal Kanaiyalal Brahmbhatt, M.D.
• Vipulkumar R Brahmbhatt, MD
• Kristen N Branch-McGlamery, LPC, MHSP
• Tandy Branham, PHARMD
• Dan H Branon, CRNA
• Jason Andrew Brashear, M.D.
• Roy Ray Bratton Jr., DDS
• Sheree A Bray, M.D., FACS
• Anna Brazell
• Breakthrough Medical Clinic of Tennessee Inc

• Plastic Surgery Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.

Verify at the official NPI Registry.