Individual provider Active NPI

Brian Gregory Gerndt, M.D.

  • Specialist
  • Cookeville, TN
National Provider Identifier
1982799284
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31634 Issued in TN
Practice address
203 N. Cedar Avenue
Suite a
Cookeville, TN 38501
Phone
(931) 528-1992
Fax
(931) 526-3694
NPI assigned
Oct 3, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31634 TN Primary

Addresses

Primary practice location

203 N. Cedar Avenue
Suite a
Cookeville, TN 38501

Mailing address

203 N. Cedar Avenue
Suite a
Cookeville, TN 38501
Phone (931) 528-1992

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000800 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 3678766870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Tennessee Surgical Specialists, LLCGroup PAC ID 9133014707, 9 clinicians

Practice addresses (Care Compare)

203 N Cedar Ave
Cookeville, TN 38501-2498
Phone (931) 528-1992

203 N Cedar Ave
Cookeville, TN 38501-2499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Varicose vein removal423
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Surgical Specialists, LLC Specialist CurrentSince Aug 1, 2000 Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

203 N Cedar Ave
Cookeville, TN 38501
Phone (931) 528-1992

203 N Cedar Ave
Ste A
Cookeville, TN 38501
Phone (931) 528-1992

251 W 3rd St
Ste 202
Cookeville, TN 38501
Phone (931) 528-1992

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, 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1982799284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N. CEDAR AVENUE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-528-1992",
            "fax_number": "931-526-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N. CEDAR AVENUE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-528-1992",
            "fax_number": "931-526-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNDT",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "31634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.