Blair Brandt, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

67640 Issued in TN

Practice address

501 19TH St Ste 509
Knoxville, TN 37916-1874

Phone

(865) 524-3208

NPI assigned

May 2, 2019

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

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

Obstetrics/Gynecology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Sanders Obstetrical and Gynecological Group, PCGroup PAC ID 1254416506, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fort Sanders Obstetrical and Gynecological Group, P.C.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
  • NPI 1063525236
  Medicare reassignment Care Compare group NPD
• Fort Sanders Obstetrical and Gynecological Group II LLC

  • Clinic/Center
  • Knoxville, TN
  • NPI 1487815494
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1902461262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161874",
            "telephone_number": "865-524-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161874",
            "telephone_number": "865-524-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "BLAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10066804",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "67640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Brandner
• Catherine Brandon-Smith, CMSW
• Courtney Ashley Brandon, LPC/MHSP
• Jean Louise Brandon, MA, CCC-SLP
• Rebecca Brandon, CRNA
• Charles Phillip Brandt, PA
• Kurt Brandt, M.D.
• Lane Brandt
• Sarah Elizabeth Brandt
• Zachery Clint Branham, DO

• Obstetrics & Gynecology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.