Miriam Brandon, MD
Individual provider Active NPI Internal Medicine Physician · Powell, TN
NPI 1376587790 · NPPES record last updated Oct 10, 2016
Key facts
- NPI
- 1376587790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36668 (TN)
- Practice address
- 7744 Conner Road
Powell, TN 37849-3568 - Phone
- (865) 546-9751
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group, PLLC
Practice addresses (Care Compare)
103 Midlake Dr Level
Knoxville, TN 37918-3039
Phone (865) 687-7704
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627
1275 Dick Lonas Rd
Knoxville, TN 37909-1326
201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627
2217 E Lamar Alexander Pkwy
Maryville, TN 37804-5311
Phone (865) 982-0835
7211 Wellington Dr
Knoxville, TN 37919-5968
7545 Barnett Way
Powell, TN 37849-3565
Phone (865) 824-1524
7744 Conner Rd
Powell, TN 37849-3509
Phone (865) 546-9751
9333 Park W Blvd
Knoxville, TN 37923-4305
Hospital & facility affiliations
- University of TN Medical Center Home Care Services
- NHC Homecare Knoxville
- Physicians Regional Medical Center
- University Health System, Inc
- Fort Sanders Regional Medical Center
- Methodist Medical Center of Oak Ridge
- Parkwest Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304000578 | TN | Practitioner - Internal Medicine | 1153409297 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36668 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751
Interoperability endpoints
- miriam.brandon.1@20785.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36668 | TN | Yes |
Addresses
Primary practice location
7744 Conner Road
Powell, TN 37849-3568
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00019002 | Other | TN | RR MEDICARE |
Other providers in Powell, TN
- Kellie Botts
- Kailyn Bowman
- Emily R Boyer
- Leonard A Brabson
- Larry C Brakebill
- Jodi L Brantley
- Hannah Suzanne Brewer
- Lainey Santich Briggs
- Rebecca Anne Brown
- April D Bryant
All providers in Powell, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.