Active NPI
Brandalyn Fontenot Breeden, AU.D.
- Audiologist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Speech & Hearing, Inc | Audiologist | Current | Accepting new patients |
| Tennessee Ear, Nose & Throat Consultants, PC | Audiologist | Current | 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.
-
- Audiologist
- Knoxville, TN
- NPI 1265560288
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
Audiologist
-
- Family Medicine Physician
- Memphis, TN
- NPI 1598767980
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.