Active NPI
Brenda Jane Crowder, M.D.
- Gynecology Physician
- Elizabethton, TN
National Provider Identifier
1801865324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD17907
- Practice address
- 1500 W Elk Ave
Elizabethton, TN 37643-2654 - Phone
- (423) 543-2584
- Fax
- (423) 722-2060
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD17907 | TN | Primary |
Addresses
Primary practice location
1500 W Elk Ave
Elizabethton, TN 37643-2654
Mailing address
1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone (423) 543-2584
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160055035 | Other | TN | RAILROAD MEDICARE |
| 0327017 | Medicaid | TN | |
| TN0101 | Other | TN | JOHN DEERE COMMERICAL INS |
| 3131685 | Other | TN | BCBS OF TENNESSEE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 W Elk Ave
Elizabethton, TN 37643-3776
Phone (423) 543-2584
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 86.98
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17907 | TN | MD | Gynecology Physician |
| 17907 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care PLLC | Current | Accepting new patients |
Locations
401 E Main St
Johnson City, TN 37601
Phone (423) 722-2062
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.
-
- Family Medicine Physician
- Elizabethton, TN
- NPI 1851537260
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1801865324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W ELK AVE",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432654",
"telephone_number": "423-543-2584",
"fax_number": "423-722-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W ELK AVE",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432654",
"telephone_number": "423-543-2584",
"fax_number": "423-722-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "BRENDA",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "MD17907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160055035",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327017",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE COMMERICAL INS",
"identifier": "TN0101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "3131685",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.