Active NPI
Sweetwater Neurology LLC
Doing business as David W Brandes Sole MBR
- Neurology Physician
- Knoxville, TN
National Provider Identifier
1477796837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 44546
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44546 | Other | TN | MEDICAL LICENSE |
Other names 1
- David W Brandes Sole MBR
National Provider Directory
National Provider DirectoryNPI 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.