NPIMap

Individual provider Active NPI

Brett L Ferrell, M.D.

  • Family Medicine Physician
  • Tullahoma, TN
National Provider Identifier
1356646434
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD47136 Issued in TN
Practice address
100 William N. Blvd
Tullahoma, TN 37388-4754
Phone
(931) 454-0489
Fax
(931) 454-2348
NPI assigned
Jan 20, 2011
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME107156 FL
Family Medicine Physician 207Q00000X MD47136 TN Primary

Addresses

Primary practice location

100 William N. Blvd
Tullahoma, TN 37388-4754

Mailing address

100 William N. Blvd
Tullahoma, TN 37388-4754
Phone (931) 454-0489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000349 TN Practitioner - Family Practice 4284812694 Reassigns benefits to 1 organization
Practice locations: Tullahoma, TN; Tullohoma, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 William N Blvd
Tullahoma, TN 37388
Phone (931) 454-0489

100 William N Blvd
Tullahoma, TN 37388-4754

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107156FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tullahoma Immediate Care PC Family Medicine CurrentSince Jan 15, 2012 Accepting new patients
Lynchburg Medical Investors, LLC Past Accepting new patients
Lynchburg Medical Clinic, LLC Family Medicine PastSince Jan 1, 2013 Accepting new patients

Locations

100 William Northern Blvd
Tullahoma, TN 37388
Phone (931) 454-0489

1210 S Jackson St
Tullahoma, TN 37388
Phone (931) 454-0489

730 Kings Ln
Tullahoma, TN 37388
Phone (931) 393-2121

Interoperability endpoints

  • Direct secure messaging: brett.ferrell.1@1955.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lynchburg Nursing CenterLynchburg, TN, CCN 445279 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2011
Mar 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1356646434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM N. BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM N. BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "BRETT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107156",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD47136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.