Individual provider Active NPI

Brian Keck, NP

  • Nurse Practitioner
  • Oneida, TN
National Provider Identifier
1912035635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
132670 Issued in TN
Practice address
18797 Alberta St
Oneida, TN 37841-2127
Phone
(423) 569-8521
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 132670 TN Primary

Addresses

Primary practice location

18797 Alberta St
Oneida, TN 37841-2127

Mailing address

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone (865) 985-7012

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
I20070712000652 TN Practitioner - Nurse Practitioner 3476653957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

653 Merchants Greene Blvd
Morristown, TN 37813-1171
Phone (423) 492-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12577TNMDDentist
132670TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Apr 1, 2007 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Oct 21, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Nov 14, 2011 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912035635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "865-985-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18797 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412127",
            "telephone_number": "423-569-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "132670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.