Bobbie Jo Brzeczek, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

35623 Issued in TN

Practice address

1621 W Morris Blvd Ste a
Morristown, TN 37813-2967

Phone

(423) 492-7100

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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 and National Provider Directory roles.

• Fort Sanders Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1003811381
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1952163396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "423-492-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "423-492-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZECZEK",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "35623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deana R Brotherton, M.D.
• Janice Louise Brown
• Sasha Brown, PHARMD
• Samantha Broyles
• Samantha Bruinius
• BS &GS Gastroenterology PLLC
• Staci Bubp, FNP
• Emily Kay Buchanan
• Daniel Jacob Buckner
• Sarah Ruth Buel

• Advanced Practice Midwife in Morristown, TN
• Providers in Morristown, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.