Brian Keith Elliott, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1749 Issued in TN

Practice address

1 Medical Park Blvd
Bristol, TN 37620-7430

Phone

(423) 844-5800

NPI assigned

Sep 9, 2009

Last updated

Sep 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.elliott.1@1054.direct.athenahealth.com
• Direct secure messaging: brian.elliott.1@1366.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4

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.

• Campbell Clinic, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1003835141
  Medicare reassignment Care Compare group NPD (past)
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Norton, VA
  • NPI 1831495613
  Medicare reassignment NPD
• Appalachian Orthopaedic Associates P C

  dba Appalachian Orthopedics Associates, PC

  • Orthopaedic Surgery Physician
  • Rogersville, TN
  • NPI 1063875649
  Medicare reassignment
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Johnson City, TN
  • NPI 1336175462
  NPD
• Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Kingsport, TN
  • NPI 1669940078
  NPD
• Campbell Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Carthage, TN
  • NPI 1669366068
  NPD
• Titan Orthopedics of Memphis, PLLC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1013463694
  NPD
• Appalachian Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Kingsport, TN
  • NPI 1598703043
  NPD (past)
• Campbell Clinic

  dba Campbell Clinic MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Germantown, TN
  • NPI 1588619944
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wellmont Health System

  dba Bristol Regional Medical Center

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615
  Care Compare affiliation
• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1336472398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11724",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391724",
            "telephone_number": "423-797-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britn'Y Edwards, MD
• Mariah Whitney Edwards, NP
• Nyela Aldridge Edwards, CNM
• Taylor Helms Edwards, OTR/L
• Laura Ann Eller, AGACNP
• Suzanne Maria Elliott, MA
• Ellen Elizabeth Ellis, PT, DPT
• Heather Renee Ellis, PA-C
• Jennifer L Elswick, CRNA
• Emg Lab PLLC

• Medical Physician Assistant in Bristol, TN
• Providers in Bristol, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.