Active NPI
Brandon Adam Block, DO
- Family Medicine Physician
- Ethridge, TN
National Provider Identifier
1457092314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6897
- Practice address
- 3316 Highway 43 N Ste 310
Ethridge, TN 38456-2136 - Phone
- (931) 999-2663
- Fax
- (931) 820-9044
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6897 | TN | Primary |
Addresses
Primary practice location
3316 Highway 43 N Ste 310
Ethridge, TN 38456-2136
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220512000345 | TN | Order and Referring Only - Family Practice | 6507243565 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Nashville, TN 37230
PO Box
Suite 32569
Knoxville, TN 37930-2569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6897 | TN | MD | Family Medicine Physician |
Interoperability endpoints
- bblock@andrewssm.emadirect.md
- brandon.block.1@12373.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1457092314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "615-329-2294",
"fax_number": "615-695-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 HIGHWAY 43 N STE 310",
"city": "ETHRIDGE",
"state": "TN",
"postal_code": "384562136",
"telephone_number": "931-999-2663",
"fax_number": "931-820-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "BRANDON",
"middle_name": "ADAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "6897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ethridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.