Individual provider Active NPI

J Hays Brantley, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1437150315
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13648 Issued in TN
Practice address
5182 Sanderlin Ave
Suite 3
Memphis, TN 38117-4354
Phone
(901) 685-0152
Fax
(901) 685-9982
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13648 TN Primary

Addresses

Primary practice location

5182 Sanderlin Ave
Suite 3
Memphis, TN 38117-4354

Mailing address

PO Box 1000 Dept 362
Memphis, TN 38148-0362
Phone (901) 373-9704

Other identifiers 5

IdentifierTypeStateIssuer
4030767OtherTNBCBS
110233296OtherTNRAILROAD MEDICARE
117851001MedicaidAR
4030767OtherTNTENNCARE SELECT
92825OtherARBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000315 TN Practitioner - Internal Medicine 2365410057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
86.11
Improvement activities
40
Cost
85.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13648TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare - Memphis Hospitals CurrentSince Oct 1, 1989 Accepting new patients
Methodist Healthcare - Memphis Hospitals CurrentSince Oct 1, 1989 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1265 Union Ave
#8E
Memphis, TN 38104
Phone (901) 726-0999

5182 Sanderlin Ave
Ste 3
Memphis, TN 38117
Phone (901) 685-0152

Interoperability endpoints

  • Direct secure messaging: james.brantleymd.p1@direct.churchhealthcenter.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1437150315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 362",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480362",
            "telephone_number": "901-373-9704",
            "fax_number": "901-255-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 SANDERLIN AVE",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174354",
            "telephone_number": "901-685-0152",
            "fax_number": "901-685-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "J",
        "middle_name": "HAYS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "13648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4030767",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110233296",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117851001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4030767",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92825",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.