Brenda J. Ross, M.D.
Emergency Medicine in Jasper, TN. Individual provider (NPI-1).
NPI number1124055801
StatusActive
Last updated in NPPESNov 19, 2007
Details
- NPI
- 1124055801
- Entity type
- Individual (NPI-1)
- Name
- Brenda J. Ross
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Nov 19, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD25147 | TN | Yes |
Practice location
1000 Highway 28Jasper, TN 37347-3638
Phone 423-837-9500 · Fax 865-539-8008
Mailing address
Po Box 634706Cincinnati, OH 45263-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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