Brandon Ketron (NPI# 1558629907, PAC ID# 1850616129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558629907 |
| PAC ID by PECOS | 1850616129 |
| Professional Enrollment ID | I20150911001876 |
| Full Name | Brandon Ketron |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
98 15th St Nw Suite 203 Norton VA 24273-1600 |
| Phone Number | 2766799002 |
| Gender | M |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| 490001 | NORTON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 4239155000 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 301 Med Tech Pkwy, Johnson City, TN 37604-2364 | 4237945500 | STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC |
| 2000 Brookside Dr, Kingsport, TN 37660-4627 | 4238575905 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 | 4238575905 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 98 15th St Nw, Suite 203, Norton, VA 24273-1600 | 2766799002 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
98 15TH ST NW SUITE 203 |
| City | NORTON |
| State | VA |
| Zip | 24273-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa T Salyer | Nurse Practitioner | Norton Community Physician Services LLC | 98 15th St Nw, Suite 207a, Norton, VA 24273-1600 |
| Karam Pathan | Urology | 98 15th St Nw, Norton, VA 24273-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Newberry | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Jody B Bentley | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| James Matthew Wilson | Family Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Isam T Zibdeh | Obstetrics/gynecology | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Nicanor B Concepcion | Urology | Nicanor B. Concepcion, M.d. P.C. | 624 Park Ave, Norton, VA 24273-0909 |
| Leslie A Davis | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Norton, VA 24273-1100 |
| Revonda C Watts | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Suite 200, Norton, VA 24273-1100 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Elizabeth C Cooperstein | Family Medicine | App of Tennessee Ed Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Ismael H Tura | Internal Medicine | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Find all physicians in zip 24273 | |||
| City | NORTON |
| Zip Code | 24273 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTON + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.