Active NPI
Brent Webb, D.O.
- Family Medicine Physician
- Jacksboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1138
- Practice address
- 2545 Jacksboro Pike
Jacksboro, TN 37757-4847 - Phone
- (423) 566-8181
- Fax
- (423) 562-9692
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1138 | TN | Primary |
Addresses
Primary practice location
2545 Jacksboro Pike
Jacksboro, TN 37757-4847
Mailing address
1225 E Weisgarber Rd Ste 200
Knoxville, TN 37909-2675
Phone (865) 584-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512219 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138 | TN | MD | Clinical Psychologist |
| DO1138 | TN | MD | Family Medicine Physician |
| 3226 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Tennessee, PC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Current | Accepting new patients |
| Afc Physicians of Tennessee, PC | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Cherokee Health Systems | Family Medicine | Past | Accepting new patients |
| Summit Medical Group PLLC | Family Medicine | Past | Accepting new patients |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Abercrombie Radiological Consultants Inc | Past | Accepting new patients |
Locations
1015 Hunters Xing
Alcoa, TN 37701
Phone (856) 238-2006
2545 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 352-6090
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
9203 Kingston Pike
Knoxville, TN 37922
Phone (865) 299-6192
2212 Jacksboro Pike
La Follette, TN 37766
Phone (423) 201-9287
6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Chattanooga, TN
- NPI 1114234523
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- General Practice Physician
- Knoxville, TN
- NPI 1649647249
Family Medicine
-
dba Summit Medical Group of Campbell County
- Family Medicine Physician
- La Follette, TN
- NPI 1376622639
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1942207154
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Family Medicine
-
dba Summit Medical Group of Oak Ridge
- Family Medicine Physician
- Oak Ridge, TN
- NPI 1437238797
-
dba Summit Medical Group of Cookeville
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1336178748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092675",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 JACKSBORO PIKE",
"city": "JACKSBORO",
"state": "TN",
"postal_code": "377574847",
"telephone_number": "423-566-8181",
"fax_number": "423-562-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "BRENT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO1138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512219",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksboro, TN
- Timothy M Hall DMD PC
- Valley Medical
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1466)
- Wal-Mart Stores East, LP (Vision Center 30-1466)
- Shannon Rebecca Watkins, LPN
- Wells Drugs Inc (Riggs Drug Jacksboro)
- Wells Drugs Inc (Riggs Drug Jacksboro)
- West Wellness PLLC
- Justin Lee Wilson, DPH
- Anne Marie Wood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.