Individual provider Active NPI

Brent Jerome Morris, M.D.

  • Urology Physician
  • Jackson, TN
National Provider Identifier
1992929368
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46413 Issued in TN
Practice address
28 Medical Center Dr
Jackson, TN 38301-3947
Phone
(731) 427-9971
Fax
(731) 427-9973
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 46413 TN Primary

Addresses

Primary practice location

28 Medical Center Dr
Jackson, TN 38301-3947

Mailing address

PO Box 1446
Dyersburg, TN 38025-1446
Phone (731) 427-9971

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
I20101025001169 TN Practitioner - Urology 6608069471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Urological Associates, P.C.Group PAC ID 5395728935, 5 clinicians

Practice addresses (Care Compare)

28 Medical Ctr Dr
Jackson, TN 38301-3947
Phone (731) 427-9971

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
  • Henderson County Community Hospital Hospital, Lexington, TN, CCN 440008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46413TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Urological Associates, P.C. Urology CurrentSince Jul 1, 2019 Accepting new patients
Madison Clinic Corp Current Accepting new patients

Locations

379 Hospital Blvd
Jackson, TN 38305
Phone (731) 660-5160

28 Medical Center Dr
Jackson, TN 38301
Phone (731) 427-9971

37 Sandstone Cir
Jackson, TN 38305
Phone (731) 661-0588

60 Physicians Dr
Jackson, TN 38305
Phone (731) 664-9928

Interoperability endpoints

  • Direct secure messaging: brent.morris.p1@direct.cpc.nextgenshare.com

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 4

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1992929368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251446",
            "telephone_number": "731-427-9971",
            "fax_number": "731-427-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MEDICAL CENTER DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013947",
            "telephone_number": "731-427-9971",
            "fax_number": "731-427-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "BRENT",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "46413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.