Conrad L Brimhall, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

41614 Issued in KY

Practice address

400 E Economy Rd
Suite 8
Morristown, TN 37814-3388

Phone

(423) 587-4600

Fax

(423) 587-1729

NPI assigned

Dec 13, 2005

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

Saint Louis University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeway Dermatology Associates PCGroup PAC ID 3678892684, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrimhall@lakewayderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeway Dermatology Associates PC

  • Dermatology Physician
  • Morristown, TN
  • NPI 1386031979
  Medicare reassignment Care Compare group Authorized official
• Lakeway Dermatology Associates, PC

  • Dermatology Physician
  • Morristown, TN
  • NPI 1114123056
  NPD Authorized official

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

• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1598740532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ECONOMY RD",
            "address_2": "SUITE 8",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143388",
            "telephone_number": "423-587-4600",
            "fax_number": "423-587-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ECONOMY RD",
            "address_2": "SUITE 8",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143388",
            "telephone_number": "423-587-4600",
            "fax_number": "423-587-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "CONRAD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "41614",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "49149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Branson, LCSW
• Donna Lynn Branton
• Michael W Bratton Sr., MD
• Megan Breidenbach, MS CCC-SLP
• Glenn A Bridges, CRNA
• Savannah Bleu Britt
• Rachel A Brittain-Shipley, MSOTR/L
• Brianna Brockwell
• Joshua Brockwell, DPT
• Lisa Brockwell, A.A.S.

• Dermatology Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.

Verify at the official NPI Registry.