Active NPI
Brian A Adrian, M.D.
- Family Medicine Physician
- Clarksville, TN
National Provider Identifier
1508092305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD21922
- Practice address
- 782 Weatherly Dr
Clarksville, TN 37043-8941 - Phone
- (931) 645-3552
- NPI assigned
- Jun 8, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.056362 | IL | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 036-128551 | IL | |
| Adult Medicine Physician | 207QA0505X | 036-128551 | IL | |
| Family Medicine Physician | 207Q00000X | MD21922 | ME | Primary |
Addresses
Primary practice location
782 Weatherly Dr
Clarksville, TN 37043-8941
Mailing address
782 Weatherly Dr
Clarksville, TN 37043-8941
Phone (931) 645-3552
Other practice location 1
2972 Indian Trail Road
Suite A
Aurora, IL 60502
Phone (630) 499-0812
Other practice location 2
23 High St
Fort Fairfield, ME 04742-1021
Phone (207) 768-4753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-128551 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250528001349 | ME | Order and Referring Only - Family Practice | 5991979643 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 71.56
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.056362 | IL | MD | Family Medicine Physician |
| MD21922 | ME | MD | Family Medicine Physician |
| 036-128551 | IL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empact Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1982985032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1508092305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 WEATHERLY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438941",
"telephone_number": "931-645-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 WEATHERLY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438941",
"telephone_number": "931-645-3552"
}
],
"practiceLocations": [
{
"address_1": "2972 Indian Trail Road",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "60502",
"country_code": "US",
"telephone_number": "630-499-0812",
"fax_number": "630-499-0823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 High St",
"address_purpose": "LOCATION",
"city": "Fort Fairfield",
"state": "ME",
"postal_code": "047421021",
"country_code": "US",
"telephone_number": "207-768-4753",
"fax_number": "207-472-3609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADRIAN",
"first_name": "BRIAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2025-04-23",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.056362",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "IL",
"license": "036-128551",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036-128551",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD21922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-128551",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.