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BRETT C ODUM MD NPI 1336143163


NPI Information

NPI: 1336143163
Provider Name: BRETT C ODUM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
240 MEDICAL PARK BLVD
STE 3600
BRISTOL, TN
ZIP 37620
Phone: (423) 990-2400
Get Directions

Brett C Odum, MD is a family medicine in Bristol, TN with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Brett C Odum, MD NPI is 1336143163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

240 MEDICAL PARK BLVD
STE 3600
BRISTOL, TN
ZIP 37620-346
Phone: (423) 990-2400
Fax: (423) 990-2405

The NPI 1336143163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 8/17/2011.


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
1208M00000XHospitalist37808TENNESSEENo
2207Q00000XFamily Medicine0101232193VIRGINIANo
3207Q00000XFamily MedicineMD 37808TENNESSEEYes

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
1H79116MEDICARE UPINTENNESSEE
2P00060091MEDICARE PIN
3007125H81MEDICARE UPINVIRGINIA
410123721MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
53888335MEDICAIDTENNESSEE
6H79116MEDICARE UPIN
710098521MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
83700592MEDICARE UPINTENNESSEE
90281780003MEDICARE PINTENNESSEE
10103I086169MEDICARE UPINTENNESSEE
110281780001MEDICARE PINTENNESSEE

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: 5/5/2024

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.