DR. EARL EDWARD BREAZEALE MD NPI 1487649422

NPI Information

  • NPI: 1487649422
  • Provider Name: DR. EARL EDWARD BREAZEALE, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2068 LAKESIDE CENTRE WAY
    KNOXVILLE, TN
    ZIP 37922
  • Phone: (865) 342-0300

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NPI Details

DR. Earl Edward Breazeale, MD is a specialist in Knoxville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Earl Edward Breazeale, MD NPI is 1487649422. 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:

2068 LAKESIDE CENTRE WAY
KNOXVILLE, TN
ZIP 37922-591
Phone: (865) 342-0300
Fax: (865) 342-0301

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/8/2007.

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
1174400000XSpecialistMD27172TENNESSEEYes

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
1F84980MEDICARE UPINTENNESSEE
23096391MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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: 3/30/2025

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