NPIMap

Individual provider Active NPI

Jeremy Brooks, MD

  • Interventional Cardiology Physician
  • Knoxville, TN
National Provider Identifier
1861873879
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
65187 Issued in TN
Practice address
9320 Park West Blvd
Knoxville, TN 37923-4301
Phone
(865) 373-7100
NPI assigned
Jun 16, 2015
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015017222 MO
Internal Medicine Physician 207R00000X 201801422 NC
Interventional Cardiology Physician 207RI0011X 65187 TN Primary
Hospitalist Physician 208M00000X 201801422 NC

Addresses

Primary practice location

9320 Park West Blvd
Knoxville, TN 37923-4301

Mailing address

9320 Park West Blvd
Knoxville, TN 37923-4301
Phone (865) 373-7100

Other practice location 1

Medical Center Boulevard
Winston Salem, NC 27157
Phone (336) 716-6674

Other identifiers 1

IdentifierTypeStateIssuer
Q074597MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooks.jeremy.e@covenanthealth.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801000939 TN Practitioner - Cardiovascular Disease (Cardiology) 6103130919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leconte Medical CenterGroup PAC ID 0244225985, 3 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

9320 Parkwest Blvd
Knoxville, TN 37923-4301
Phone (865) 373-7100

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as individual
Quality
86.96
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting54
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65187TNMDInterventional Cardiology Physician
201801422NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Nov 3, 2022 Accepting new patients
Covenant Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Leconte Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

Knoxville, TN 37995

9320 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-7100

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

744 Middle Creek Rd
Ste 114
Sevierville, TN 37862
Phone (865) 446-9575

Interoperability endpoints

  • Direct secure messaging: brooks.jeremy.e@covenanthealth.cernerdirect.com

Organizations & group practices 5

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.

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1861873879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234301",
            "telephone_number": "865-373-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234301",
            "telephone_number": "865-373-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27157",
            "country_code": "US",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015017222",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201801422",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "65187",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "201801422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q074597",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooks.jeremy.e@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9320 Park West Blvd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.