| Dr Terri R Brunvoll, DO | |
|
1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | |
| (423) 870-2030 | |
| (423) 875-6405 |
| Full Name | Dr Terri R Brunvoll |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1025 Executive Dr, Hixson, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326170473 | NPI | - | NPPES |
| 5064580 | Medicaid | TN | |
| 080157953 | Other | TN | MEDICARE RR |
| DO0000001148 | Other | TN | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 207Q00000X (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Erlanger Medical Center | Chattanooga, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chattanooga Hamilton County Hospital Authority | 0547179731 | 170 |
| Erlanger Health | 1153780226 | 439 |
| Entity Name | Chattanooga Hamilton County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terri R Brunvoll, DO 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 Ph: (423) 870-2030 | Dr Terri R Brunvoll, DO 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 Ph: (423) 870-2030 |
Dr. Kimberly Lynn Pickett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2051 Hamill Rd Ste 210, Hixson, TN 37343 Phone: 423-870-1999 | |
Dr. James J O'connell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2051 Hamill Rd, Suite 301, Hixson, TN 37343 Phone: 423-877-1249 Fax: 423-870-2765 | |
Dr. Owen F Speer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Road Suite 301, Hixson, TN 37343 Phone: 423-877-1249 Fax: 423-870-2765 | |
Charles Gober, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4980 Alpha Ln, Hixson, TN 37343 Phone: 423-870-2450 Fax: 423-877-5208 | |
Dr. Brent Jeremy Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Executive Drive, Suite 100, Hixson, TN 37343 Phone: 423-778-9030 Fax: 423-778-9031 | |
Erik Randall Ewing, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5104 Hixson Pike, Hixson, TN 37343 Phone: 423-763-1942 Fax: 423-763-1842 |