Active NPI
Robert Randolph Brinson, M.D.
- Gastroenterology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 00014649
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 79267 | MT | |
| Gastroenterology Physician | 207RG0100X | 00014649 | AL | Primary |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
7080 Sydney Curv
Montgomery, AL 36117-3508
Phone (334) 271-1205
Other practice location 2
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000081474 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital Desoto
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00014649 | AL | MD | Gastroenterology Physician |
| 79267 | MT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Saint Thomas Medical Partners | Multi-Specialty | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Multi-Specialty | Current | Accepting new patients |
| DCH Provider Services, LLC | Multi-Specialty | Current | Accepting new patients |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| DCH Provider Services, LLC | Multi-Specialty | Current | Accepting new patients |
| Albany Medical College | Multi-Specialty | Current | Accepting new patients |
| Mount Sinai School of Medicine | Multi-Specialty | Current | Accepting new patients |
Locations
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
- robert.brinson.1@8478.direct.athenahealth.com
- rbrinson2979167@carolinashealthcaresystem.direct-ci.com
- robert.brinson@direct.baptistfirst.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Multi-Specialty
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Multi-Specialty
-
- Internal Medicine Physician
- Tuscaloosa, AL
- NPI 1982103974
Multi-Specialty
-
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Multi-Specialty
-
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1639918410
Multi-Specialty
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
Multi-Specialty
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1487741237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-1121"
}
],
"practiceLocations": [
{
"address_1": "7080 Sydney Curv",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361173508",
"country_code": "US",
"telephone_number": "334-271-1205",
"fax_number": "334-271-1204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINSON",
"first_name": "ROBERT",
"middle_name": "RANDOLPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "MT",
"license": "79267",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "00014649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000081474",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
- Samuel Lucas Brashears, MD
- Breast Prostheses & Orthotics Inc
- David Albert Brenner, MD
- Jonathan Thomas Brewster, PHARMD
- Bridges W. Smith, P.C.
- Bristol Ambulatory Surgery Center, LLC
- Bristol Chiropractic and Wellness Center, PC
- Bristol Chiropractic PC
- Bristol Computer Services, Inc.
- Bristol Consultants PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.