Individual provider Active NPI

Brett Alan Simpson, PA-C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1396388724
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3964 Issued in TN
Practice address
1370 Gateway Blvd Ste 100
Murfreesboro, TN 37129-2590
Phone
(615) 848-9265
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 3964 TN
Physician Assistant 363A00000X 3964 TN Primary

Addresses

Primary practice location

1370 Gateway Blvd Ste 100
Murfreesboro, TN 37129-2590

Mailing address

150 W Thompson LN Apt L204
Murfreesboro, TN 37129-3621
Phone (865) 206-0354

Other practice location 1

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone (615) 225-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001211 TN Practitioner - Physician Assistant 4587098603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

1370 Gateway Blvd
Suite 100
Murfreesboro, TN 37129-2590
Phone (615) 848-9265

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3964TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Oct 18, 2019 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Oct 18, 2019 Accepting new patients

Locations

1370 Gateway Blvd
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-9252

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 Stonecrest Blvd
Ste 375
Smyrna, TN 37167
Phone (615) 223-9913

Interoperability endpoints

  • Direct secure messaging: brett.simpson@ahp.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1396388724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W THOMPSON LN APT L204",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293621",
            "telephone_number": "865-206-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 GATEWAY BLVD STE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292590",
            "telephone_number": "615-848-9265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1574 Medical Center Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293761",
            "country_code": "US",
            "telephone_number": "615-225-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "3964",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.