Individual provider Active NPI

Kimberly C Brennan, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1770520520
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD36874 Issued in TN
Practice address
3601 TVC
Nashville, TN 37232-0001
Phone
(615) 322-3000
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 39586 KY
Diagnostic Radiology Physician 2085R0202X 39586 KY
Diagnostic Radiology Physician 2085R0202X MD36874 TN Primary

Addresses

Primary practice location

3601 TVC
Nashville, TN 37232-0001

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-3000

Other practice location 1

337 22nd Ave N
Nashville, TN 37203-1840
Phone (615) 327-1500

Other practice location 2

1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729

Other practice location 3

2009 Mallory Ln Ste 150
Franklin, TN 37067-2872
Phone (615) 771-8668

Other practice location 4

719 Thompson Ln
Nashville, TN 37204-3609
Phone (615) 936-3606

Other practice location 5

4525 Harding Pike Ste 102
Nashville, TN 37205-2145
Phone (615) 463-3034

Other identifiers 1

IdentifierTypeStateIssuer
64080914MedicaidKY

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address kbrennan19164@direct.vumc.org Direct Vanderbilt Imaging Services, LLC
Direct Messaging Address kbrennan19164@direct.vumc.org Direct Vanderbilt Imaging Services, LLC
Direct Messaging Address kbrennan19164@direct.vumc.org Direct Williamson Imaging, LLC
Direct Messaging Address kbrennan19164@direct.vumc.org Direct
Direct Messaging Address kbrennan19164@direct.vumc.org Direct One Hundred Oaks Imaging,LLC

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
I20040603000617 TN Practitioner - Diagnostic Radiology 9830171834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Vanderbilt Imaging Services LLCGroup PAC ID 2163417882, 119 clinicians
Williamson Imaging LLCGroup PAC ID 3375447139, 115 clinicians
One Hundred Oaks Imaging LLCGroup PAC ID 1355490756, 118 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729

2002 Richard Jones Rd
Suite B300
Nashville, TN 37215-2809
Phone (615) 386-6200

2009 Mallory LN
Suite 150
Franklin, TN 37067-2872
Phone (615) 771-8668

337 22ND Ave N
Nashville, TN 37203-1840
Phone (615) 327-1500

3841 Green Hills Dr
Nashville, TN 37215-2691

719 Thompson LN
Nashville, TN 37204-3609
Phone (615) 322-3000

719 Thompson LN
Suite 23300
Nashville, TN 37204-4686
Phone (615) 936-3606

Hospital & facility affiliations

  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36874TNMDPharmacist
MD36874TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Imaging Services, LLC Diagnostic Radiology CurrentSince Sep 1, 2006 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Apr 30, 2016 Accepting new patients
Williamson Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
One Hundred Oaks Imaging, LLC Diagnostic Radiology CurrentSince Apr 23, 2009 Accepting new patients
Tennessee Advanced Neurodiagnostic Institute, Inc. (Tanii) Past Accepting new patients
Vanderbilt St. Thomas Imaging, GP Diagnostic Radiology Past Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

2009 Mallory Ln
Ste 150
Franklin, TN 37067
Phone (615) 771-8668

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

337 22nd Ave N
Nashville, TN 37203
Phone (615) 327-1500

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

4525 Harding Pike
Ste 102
Nashville, TN 37205
Phone (615) 463-3034

1909 Acklen Ave
Nashville, TN 37212
Phone (615) 777-9729

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

Interoperability endpoints

  • Direct secure messaging: kbrennan19164@direct.vumc.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1770520520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TVC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 22nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031840",
            "country_code": "US",
            "telephone_number": "615-327-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Acklen Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123713",
            "country_code": "US",
            "telephone_number": "615-777-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 Mallory Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672872",
            "country_code": "US",
            "telephone_number": "615-771-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Thompson Ln",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372043609",
            "country_code": "US",
            "telephone_number": "615-936-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Harding Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052145",
            "country_code": "US",
            "telephone_number": "615-463-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KY",
            "license": "39586",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "39586",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD36874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64080914",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrennan19164@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "4525 Harding Rd",
            "address_2": "Suite 102",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372052119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrennan19164@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "1909 Acklen Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372123713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrennan19164@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Williamson Imaging, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "2009 Mallory Ln Ste 150",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370672872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrennan19164@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 Tvc",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrennan19164@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "One Hundred Oaks Imaging,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "719 Thompson Ln",
            "address_2": "Suite 23300",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372043609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.