MEDICARE: BRANDON MUNSEY JONES CPED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224L00000X	Pedorthist	PED0000000113	TN

General Provider Information

NPI Number	:	1104794031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON MUNSEY JONES CPED

Provider Business Mailing Address
First Line	:	10241 KINGSTON PIKE STE 4
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3240
Country	:	US
Telephone Number	:	865-672-6740
Fax Number	:	865-672-6741

Provider Business Practice Location Address
First Line	:	10241 KINGSTON PIKE STE 4
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3240
Country	:	US
Telephone Number	:	865-672-6740
Fax Number	:	865-672-6741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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