Individual provider Active NPI

Brian Niel Christiansen, DPM

  • Foot Surgery Podiatrist
  • Oak Ridge, TN
National Provider Identifier
1922095454
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
680 Issued in TN
Practice address
170 W Tennessee Ave
Oak Ridge, TN 37830-6509
Phone
(865) 482-1788
Fax
(865) 482-1789
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 680 TN Primary

Addresses

Primary practice location

170 W Tennessee Ave
Oak Ridge, TN 37830-6509

Mailing address

170 W Tennessee Ave
Oak Ridge, TN 37830-6509
Phone (865) 482-1788

Other identifiers 2

IdentifierTypeStateIssuer
3350013MedicaidTN
690000247OtherTNTAX IDENTIFICATION NUMBER

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000506 TN Practitioner - Podiatry 5496771156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arches Foot Care, LLCGroup PAC ID 4183855745, 2 clinicians

Practice addresses (Care Compare)

170 W Tennessee Ave
Oak Ridge, TN 37830-6509
Phone (865) 482-1788

Hospital & facility affiliations

  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue247
Removal of skin lesions1-10
Removal of nail tissue4139
Removal or shaving of skin growth1436
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arches Foot Care LLC Foot Surgery CurrentSince Nov 18, 2013 Accepting new patients
Methodist Medical Center Past Accepting new patients

Locations

170 W Tennessee Ave
Oak Ridge, TN 37830
Phone (865) 482-1788

140 W Tennessee Ave
Oak Ridge, TN 37830
Phone (865) 482-1097

Organizations & group practices 2

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.

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1922095454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W TENNESSEE AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306509",
            "telephone_number": "865-482-1788",
            "fax_number": "865-482-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W TENNESSEE AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306509",
            "telephone_number": "865-482-1788",
            "fax_number": "865-482-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "BRIAN",
        "middle_name": "NIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3350013",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "690000247",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.