Brandy D Ballard (NPI# 1174621478, PAC ID# 4082605258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174621478 |
| PAC ID by PECOS | 4082605258 |
| Professional Enrollment ID | I20040518001454 |
| Full Name | Brandy D Ballard |
| Address |
86 A Bible Crossing Rd Decherd TN 37324-3886 |
| Phone Number | 9313924749 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| Address | Phone | Organization |
|---|---|---|
| 86 A Bible Crossing Rd, Decherd, TN 37324-3886 | 9313924749 |
| Street Address |
86 A BIBLE CROSSING RD |
| City | DECHERD |
| State | TN |
| Zip | 37324-3886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Bryant Farris Jr. | Chiropractic | 1210 W Main St, Decherd, TN 37324-3607 | |
| Thomas F Phelps | Family Practice | Tennessee Pain Management and Rehabilitation PC | 2008 Decherd Blvd, Decherd, TN 37324-3818 |
| Wendy D Reed | Nurse Practitioner | Tennessee Pain Management and Rehabilitation PC | 2008 Decherd Blvd, Decherd, TN 37324-3818 |
| Lisa Tassie Holder | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 1948 Decherd Blvd, Suite 200, Decherd, TN 37324-3875 |
| Lindsey Knoer | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 1948 Decherd Blvd, Suite 200, Decherd, TN 37324-3875 |
| Amy Rudder | Chiropractic | Rudder Chiropractic Center, LLC | 25 Veterans Dr, Decherd, TN 37324-3887 |
| Mark T Edge | Chiropractic | Rudder Chiropractic Center, LLC | 25 Veterans Dr, Decherd, TN 37324-3887 |
| City | DECHERD |
| Zip Code | 37324 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECHERD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brandy D Ballard.
| 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.