Active NPI
Richard Allan Brinner, M.D.
- Surgery Physician
- Knoxville, TN
National Provider Identifier
1326155755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 11865
- Practice address
- 1819 W Clinch Ave Ste 200
Knoxville, TN 37916-2435 - Phone
- (865) 524-3695
- Fax
- (865) 602-3528
- NPI assigned
- Aug 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 11865 | TN | Primary |
| Vascular Surgery Physician | 2086S0129X | MD11865 | TN |
Addresses
Primary practice location
1819 W Clinch Ave Ste 200
Knoxville, TN 37916-2435
Mailing address
PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3171026 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 11865 | TN | MD | Surgery Physician |
| MD11865 | TN | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1326155755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52948",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379502948",
"telephone_number": "865-306-5675",
"fax_number": "865-584-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162435",
"telephone_number": "865-524-3695",
"fax_number": "865-602-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINNER",
"first_name": "RICHARD",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD 11865",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "MD11865",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171026",
"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 Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.