CHARLES PHILLIP BRANDT PA NPI 1952498420

NPI Information

NPI: 1952498420
Provider Name: CHARLES PHILLIP BRANDT, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
101 E BLOUNT AVE STE 800
KNOXVILLE, TN
ZIP 37920
Phone: (865) 632-5900
Get Directions

Charles Phillip Brandt, PA is a surgical physician assistant in Knoxville, TN. Charles Phillip Brandt, PA NPI is 1952498420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 E BLOUNT AVE STE 800
KNOXVILLE, TN
ZIP 37920-669
Phone: (865) 632-5900
Fax: (865) 637-2114

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA98	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3046804	OTHER	TENNESSEE	BCBSTN
2	R60683	MEDICARE UPIN	TENNESSEE
3	3665072	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE
4	3665072	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »