Individual provider Active NPI

Brandalyn Fontenot Breeden, AU.D.

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1295098184
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1614 Issued in TN
Practice address
103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone
(865) 769-0283
NPI assigned
Jun 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1614 TN Primary

Addresses

Primary practice location

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581

Mailing address

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone (865) 769-0283

Other names 1

  • Miss Brandalyn Kate Fontenot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000749 TN Practitioner - Qualified Audiologist 9032351572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgewater Speech Hearing IncGroup PAC ID 1254364979, 9 clinicians

Practice addresses (Care Compare)

103 Suburban Rd
Suite D101
Knoxville, TN 37923-5581
Phone (865) 769-0283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Speech & Hearing, Inc Audiologist CurrentSince Jul 23, 2021 Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist CurrentSince Aug 1, 2013 Accepting new patients
University of Tennessee Past Accepting new patients

Locations

117 S Charles G Seivers Blvd
Ste 202
Clinton, TN 37716

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

103 Suburban Rd
Ste D101
Knoxville, TN 37923
Phone (865) 769-0283

Dept 888604
Knoxville, TN 37995

103 Suburban Rd
Ste 101D
Knoxville, TN 37923
Phone (865) 769-0283

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1295098184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "BRANDALYN",
        "middle_name": "FONTENOT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDALYN",
            "last_name": "FONTENOT",
            "middle_name": "KATE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.