Organization Active NPI

Sweetwater Neurology LLC

Doing business as David W Brandes Sole MBR

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1477796837
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
44546 Issued in TN
Legal business name
SWEETWATER NEUROLOGY LLC
Doing business as
David W Brandes Sole MBR
Practice address
2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone
(865) 218-6222
Fax
(865) 218-6220
NPI assigned
Apr 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
David W. Brandes, MD
Title
Owner
Phone
(865) 218-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 44546 TN Primary

Addresses

Primary practice location

2060 Lakeside Centre Way
Knoxville, TN 37922-6591

Mailing address

2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone (865) 218-6222

Other identifiers 1

IdentifierTypeStateIssuer
44546OtherTNMEDICAL LICENSE

Other names 1

  • David W Brandes Sole MBR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1477796837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BRANDES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-218-6222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "44546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "44546",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David W Brandes Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.