Individual provider Active NPI

Brayden Fernandez, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1639858608
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6165 Issued in TN
Practice address
322 22ND Ave N Ste 400
Nashville, TN 37203-1870
Phone
(615) 320-5090
Fax
(615) 320-1225
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6165 TN Primary

Addresses

Primary practice location

322 22ND Ave N Ste 400
Nashville, TN 37203-1870

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

Other identifiers 1

IdentifierTypeStateIssuer
Q099106MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207002815 TN Practitioner - Physician Assistant 5991235756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1750 Cedar LN
Suite 200
Tullahoma, TN 37388-4761
Phone (615) 333-2481

322 22ND Ave N
Suite 400
Nashville, TN 37203-1870
Phone (615) 320-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Dec 1, 2024 Accepting new patients
Trevecca Nazarene University PastSince Jul 23, 2023 Accepting new patients
Tennessee Oncology PastSince Nov 9, 2025 Accepting new patients

Locations

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

322 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 460-3825

322 22nd Ave N
Ste 400
Nashville, TN 37203
Phone (615) 320-5090

322 22nd Ave N
Ste 130
Nashville, TN 37203
Phone (629) 236-2055

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 4

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1639858608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 22ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031870",
            "telephone_number": "615-320-5090",
            "fax_number": "615-320-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BRAYDEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q099106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.