Individual provider Active NPI

Earl Edward Breazeale Jr., MD

  • Specialist
  • Knoxville, TN
National Provider Identifier
1487649422
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD27172 Issued in TN
Practice address
2068 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone
(865) 342-0300
Fax
(865) 342-0301
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD27172 TN Primary

Addresses

Primary practice location

2068 Lakeside Centre Way
Knoxville, TN 37922-6591

Mailing address

6700 Baum Dr
Suite One
Knoxville, TN 37919-7344
Phone (865) 584-5727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27172TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Earl Edward Breazeale, Jr., MD, PC Specialist Past Accepting new patients
Blount Memorial Physician Group, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ebreazeale872680@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487649422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BAUM DR",
            "address_2": "SUITE ONE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197344",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-342-0300",
            "fax_number": "865-342-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAZEALE",
        "first_name": "EARL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD27172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.