BRIAN KEITH ELLIOTT (NPI# 1336472398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336472398 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH ELLIOTT |
| Credential | P.A. |
| Practice Address |
1 Medical Park Blvd Bristol TN 37620-7430 |
| Mailing Address |
Po Box 11724 Knoxville TN 37939-1724 |
| Practice Telephone | 4238445800 |
| Mailing Telephone | 4237971072 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1749 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427291418 | Brian Carter Elliott | Nurse Anesthetist, Certified Registered | 6 Elmview Circle, Dover, NH 03820 | 2009-04-07 |
| 1376702928 | Brian Marc Elliott | Internal Medicine | 16 Downer Ave, Scarsdale, NY 10583-4904 | 2008-06-07 |
| 1790990752 | Brian J Elliott | Anesthesiology | 3920 S Rome St, Gilbert, AZ 85297-7366 | 2007-05-13 |
| 1760558985 | Brian Elliott | Dentist | 8880 Edgefield Dr, Colorado Springs, CO 80920-7201 | 2006-11-28 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1255426391 | Brian Gerald Elliott | Podiatrist | 275 West Bassett Rd., Suite 4, Shelbyville, IN 46176 | 2006-10-04 |
| 1134114796 | Brian W Elliott | Internal Medicine | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2005-09-20 |
| 1699234856 | Brian Elliott | Student in an Organized Health Care Education/Training Program | 128 E Apple St, Dayton, OH 45409-2902 | 2019-03-18 |
| 1326448101 | Brian Elliott | Nurse Practitioner | 3131 S Main St, Moultrie, GA 31768-6925 | 2014-08-28 |
| 1033302609 | Brian Elliott | Specialist/Technologist | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2007-08-27 |
| Street Address |
1 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768699 | Medical Mall Pharmacy Inc | Pharmacy | 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430 | 2005-05-23 |
| 1225640980 | Amanda Marshall | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7453 | 2020-08-23 |
| 1336764406 | Maggie Mullins | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-14 |
| 1578188249 | Angela Dawn Owens | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1528683133 | Jessica Dawn Anderson | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1659904837 | Sarah Elizabeth Smith | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-02-17 |
| 1063055762 | Chelsea Newsome | Nurse Practitioner | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-10-25 |
| 1750943718 | Sara Anne Mcglothlin | Occupational Therapy Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-06-30 |
| 1801355359 | Aaron Allen Kelley | Respiratory Therapist, Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-03-14 |
| 1164922076 | Neha D Naik | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487724936 | Mark Steven Mehlferber | Physician Assistant | 320 Bristol West Blvd Ste 2b, Bristol, TN 37620-8765 | 2006-11-09 |
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1457353005 | Mark Tabaka | Physician Assistant | 576 Farmington Ave, Bristol, CT 06010-3933 | 2005-08-12 |
| 1497265573 | Brianna Galligan | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2017-10-03 |
| 1578087375 | Hilda M Boateng | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2017-08-02 |
| 1669822532 | Kristin Somerville | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-21 |
| 1467801605 | Kayla Nicole Kennedy | Physician Assistant | 22 Pine St, Suite 104, Bristol, CT 06010-6948 | 2016-06-08 |
| 1447604954 | Carys Roberts | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2016-04-20 |
| 1437565553 | Daniel P Tuohey | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2014-07-09 |
| 1427486380 | Jaret Williams | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2013-10-30 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.