Individual provider Active NPI

Brian Keith Jefferson, MD

  • Interventional Cardiology Physician
  • Nashville, TN
National Provider Identifier
1508830407
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
42338 Issued in TN
Practice address
2400 Patterson St
Suite 502
Nashville, TN 37203-1562
Phone
(615) 515-1900
Fax
(615) 515-1993
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42338 TN
Cardiovascular Disease Physician 207RC0000X 42338 TN
Interventional Cardiology Physician 207RI0011X 42338 TN Primary

Addresses

Primary practice location

2400 Patterson St
Suite 502
Nashville, TN 37203-1562

Mailing address

2400 Patterson St
Suite 502
Nashville, TN 37203-1562
Phone (615) 515-1900

Other identifiers 2

IdentifierTypeStateIssuer
P00401655OtherTNRR MEDICARE
3000204MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRIAN.JEFFERSON@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000634 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981645546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Vanderbilt University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

1001 Health Park Dr
Suite 509
Brentwood, TN 37027-5752
Phone (615) 515-1900

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 222-2100

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

2400 Patterson St
Suite 318
Nashville, TN 37203-6512
Phone (615) 515-1900

2400 Patterson St
Suite 501
Nashville, TN 37203-1562
Phone (615) 292-2782

2400 Patterson St
Suite 502
Nashville, TN 37203-6511
Phone (615) 515-1900

300 Stonecrest Blvd
Suite 410
Smyrna, TN 37167-6802
Phone (615) 220-6144

313 N Main St
Ashland City, TN 37015-1347
Phone (615) 792-3030

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

585 Interstate Dr
B
Manchester, TN 37355-3191
Phone (615) 515-1900

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as individual
Quality
86.81
Improvement activities
40
Cost
77.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42338TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
North Ohio Heart Center Inc Internal Medicine Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients

Locations

585 Interstate Dr
Ste B
Manchester, TN 37355
Phone (931) 728-0902

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

300 Stonecrest Blvd
Ste 410
Smyrna, TN 37167
Phone (615) 220-6144

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508830407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-515-1900",
            "fax_number": "615-515-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-515-1900",
            "fax_number": "615-515-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "42338",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "42338",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "42338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00401655",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000204",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.JEFFERSON@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St",
            "address_2": "SUITE 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.